| Entity Name: | CENTRAL COUNSELING SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Oct 2007 (17 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 09 Dec 2010 (14 years ago) |
| Document Number: | L07000109483 |
| FEI/EIN Number | 261344356 |
| Address: | 630 W ADAMS ST. SUITE 401, JACKSONVILLE, FL, 32204, US |
| Mail Address: | 630 W ADAMS ST. SUITE 401, JACKSONVILLE, FL, 32204, US |
| ZIP code: | 32204 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669742888 | 2012-01-04 | 2014-12-11 | 630 W ADAMS ST, STE 303, JACKSONVILLE, FL, 322041645, US | 630 W ADAMS ST, STE 303, JACKSONVILLE, FL, 322041645, US | |||||||||||||||||||||
|
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| Phone | +1 904-742-5835 |
| Fax | 9042120056 |
Authorized person
| Name | JUDY WALKER GRANGER |
| Role | OWNER |
| Phone | 9047425835 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 032566000 |
| State | FL |
| Name | Role |
|---|---|
| FLORIDA-INCORPORATIONS.NET INC | Agent |
| Name | Role | Address |
|---|---|---|
| GRANGER JUDY W | Manager | 1727 MCMILLAN STREET, JACKSONVILLE, FL, 32209 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-10 | 630 W ADAMS ST. SUITE 401, JACKSONVILLE, FL 32204 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-10 | 630 W ADAMS ST. SUITE 401, JACKSONVILLE, FL 32204 | No data |
| REINSTATEMENT | 2010-12-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-22 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-03-14 |
| ANNUAL REPORT | 2021-03-02 |
| ANNUAL REPORT | 2020-03-09 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-03-20 |
| ANNUAL REPORT | 2017-04-07 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-03-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
