| Entity Name: | SANTA ROSA COUNSELING CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SANTA ROSA COUNSELING CENTER, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 19 May 2008 (17 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 14 Aug 2019 (6 years ago) |
| Document Number: | L08000049673 |
| FEI/EIN Number |
262632172
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5642 Jones St., MILTON, FL, 32570, US |
| Mail Address: | 5642 Jones St., MILTON, FL, 32570, US |
| ZIP code: | 32570 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962697441 | 2007-09-07 | 2022-08-12 | 5642 JONES ST, MILTON, FL, 325702304, US | 5642 JONES ST, MILTON, FL, 325702304, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 850-626-7779 |
| Fax | 8506267171 |
Authorized person
| Name | KAREN ALESIA WILLIS |
| Role | SENIOR PARTNER |
| Phone | 8506267779 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH8971 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| License Number | MT2297 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 103671100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WILLIS ALESIA | Managing Member | 7983 Chumuckla Hwy, PACE, FL, 32571 |
| WILLIS BRIAN | Manager | 5642 JONES ST., MILTON, FL, 32570 |
| WILLIS ALESIA M | Agent | 7983 Chumuckla Hwy, PACE, FL, 32571 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08168700067 | SANTA ROSA COUNSELING CENTER | ACTIVE | 2008-06-16 | 2028-12-31 | - | 5642 JONES ST., MILTON, FL, 32570 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2019-08-14 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-02 | 7983 Chumuckla Hwy, PACE, FL 32571 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2014-01-08 | 5642 Jones St., MILTON, FL 32570 | - |
| CHANGE OF MAILING ADDRESS | 2014-01-08 | 5642 Jones St., MILTON, FL 32570 | - |
| REGISTERED AGENT NAME CHANGED | 2010-01-05 | WILLIS, ALESIA MGRM | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-02 |
| ANNUAL REPORT | 2024-01-17 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-20 |
| ANNUAL REPORT | 2021-01-07 |
| ANNUAL REPORT | 2020-01-13 |
| LC Amendment | 2019-08-14 |
| ANNUAL REPORT | 2019-01-14 |
| ANNUAL REPORT | 2018-01-02 |
| ANNUAL REPORT | 2017-01-04 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1843507310 | 2020-04-28 | 0491 | PPP | 5642 JONES ST, MILTON, FL, 32570-2304 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
