| Entity Name: | AWARENESS COUNSELING CENTER L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Jul 2009 (16 years ago) |
| Document Number: | L09000071755 |
| FEI/EIN Number | 593719218 |
| Address: | 2425 S. Volusia Ave., Orange City, FL, 32763, US |
| Mail Address: | 508 BLOSSOMWOOD DR, DEBARY, FL, 32713-2253, US |
| ZIP code: | 32763 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114348117 | 2013-12-18 | 2013-12-18 | 2425 S VOLUSIA AVE, SUITE B-4, ORANGE CITY, FL, 327637625, US | 2425 S VOLUSIA AVE, SUITE B-4, ORANGE CITY, FL, 327637625, US | |||||||||||||||||||||||||
|
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| Phone | +1 386-774-1330 |
| Fax | 8888082088 |
Authorized person
| Name | MRS. ALLISON BONILLA |
| Role | PSYCHOTHERAPIST |
| Phone | 3867741330 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW4260 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 764134600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BONILLA ALLISON LCSW | Agent | 508 BLOSSOMWOOD DR, DEBARY, FL, 327132253 |
| Name | Role | Address |
|---|---|---|
| BONILLA ALLISON | Manager | 2425 S VOLUSIA AVE - STE B-4, ORANGE CITY, FL, 32763 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-23 | 2425 S. Volusia Ave., SUITE B4, Orange City, FL 32763 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-23 | 2425 S. Volusia Ave., SUITE B4, Orange City, FL 32763 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-23 | 508 BLOSSOMWOOD DR, DEBARY, FL 32713-2253 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-02-03 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-02-16 |
| ANNUAL REPORT | 2020-05-09 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-01-09 |
| ANNUAL REPORT | 2017-02-14 |
| ANNUAL REPORT | 2016-02-02 |
| ANNUAL REPORT | 2015-02-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
