| Entity Name: | CREATIVE COUNSELING CENTERS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Dec 2011 (13 years ago) |
| Document Number: | L11000135597 |
| FEI/EIN Number | 453955926 |
| Address: | 3270 Suntree Blvd., Melbourne, FL, 32940, US |
| Mail Address: | 5972 GOLETA CIRCLE, VIERA, FL, 32940 |
| ZIP code: | 32940 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376976829 | 2013-08-19 | 2014-07-27 | 5972 GOLETA CIR, MELBOURNE, FL, 329408035, US | 3270 SUNTREE BLVD, SUITE 2233, MELBOURNE, FL, 329407530, US | |||||||||||||||||||
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| Phone | +1 321-615-0990 |
| Fax | 8883418272 |
Authorized person
| Name | MS. GWEN ANN MUNDORF |
| Role | OWNER/DIRECTOR |
| Phone | 3216150990 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | SW10736 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MUNDORF GWEN A | Agent | 5972 GOLETA CIRCLE, VIERA, FL, 32940 |
| Name | Role | Address |
|---|---|---|
| MUNDORF GWEN A | Owner | 5972 GOLETA CIRCLE, VIERA, FL, 32940 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-10 | 3270 Suntree Blvd., Suite 207, Melbourne, FL 32940 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-02-11 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-02-17 |
| ANNUAL REPORT | 2020-05-04 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-04-10 |
| ANNUAL REPORT | 2016-05-01 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
