| Entity Name: | MELTING WALLS FAMILY CONSULTANTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 May 2008 (17 years ago) |
| Document Number: | L08000044283 |
| FEI/EIN Number | 262548941 |
| Address: | 1809 EAST BROADWAY, SUITE 355, OVIEDO, FL, 32765, US |
| Mail Address: | 1809 EAST BROADWAY, SUITE 355, OVIEDO, FL, 32765, US |
| ZIP code: | 32765 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093298457 | 2018-09-12 | 2018-09-12 | 1809 E BROADWAY ST STE 355, OVIEDO, FL, 327658597, US | 1100 TOWN PLAZA CT STE 1010, WINTER SPRINGS, FL, 327086231, US | |||||||||||||||||||||||||||||
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| Phone | +1 407-953-2497 |
| Fax | 4073592756 |
Authorized person
| Name | DR. KEVIN TURNER |
| Role | BUSINESS OPERATIONS |
| Phone | 4079537927 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PRACTICE OWNER |
| Number | 1982729570 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TURNER KEVIN | Agent | 1809 EAST BROADWAY SUITE 355, OVIEDO, FL, 32765 |
| Name | Role | Address |
|---|---|---|
| TURNER LISA M | Managing Member | 1809 EAST BROADWAY, SUITE 355, OVIEDO, FL, 32765 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2011-04-19 | TURNER, KEVIN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-04-19 | 1809 EAST BROADWAY SUITE 355, SUITE 355, OVIEDO, FL 32765 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-01-21 |
| ANNUAL REPORT | 2020-04-29 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-29 |
| ANNUAL REPORT | 2016-04-13 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
