| Entity Name: | ADULT COUNSELING & PSYCHOTHERAPY OF LAKE COUNTY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 16 Aug 2010 (14 years ago) |
| Date of dissolution: | 17 Apr 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 17 Apr 2017 (8 years ago) |
| Document Number: | L10000085478 |
| FEI/EIN Number | 273250802 |
| Address: | 131 WEST MAIN STREET, TAVARES, FL, 32778, US |
| Mail Address: | 131 WEST MAIN STREET, TAVARES, FL, 32778, US |
| ZIP code: | 32778 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932473451 | 2012-03-01 | 2012-03-01 | 131 W MAIN ST, TAVARES, FL, 327783809, US | 131 W MAIN ST, TAVARES, FL, 327783809, US | |||||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 352-742-5665 |
| Fax | 3523438801 |
Authorized person
| Name | DR. STEVEN C. VANGELDER |
| Role | OWNER/PRESIDENT |
| Phone | 3527425665 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| License Number | MH9157 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH9157 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW10470 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| License Number | MH9157 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| License Number | SW10470 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| VANGELDER STEVEN | Agent | 131 WEST MAIN STREET, TAVARES, FL, 32778 |
| Name | Role | Address |
|---|---|---|
| VANGELDER STEVEN | Managing Member | 131 WEST MAIN STREET, TAVARES, FL, 32778 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-04-17 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-02-24 |
| ANNUAL REPORT | 2015-02-11 |
| ANNUAL REPORT | 2014-02-14 |
| ANNUAL REPORT | 2013-01-25 |
| ANNUAL REPORT | 2012-03-20 |
| ANNUAL REPORT | 2011-01-23 |
| Florida Limited Liability | 2010-08-16 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
