| Entity Name: | HIBISCUS COUNSELING CENTER PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Jan 2013 (12 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 17 Aug 2015 (9 years ago) |
| Document Number: | L13000012128 |
| FEI/EIN Number | 46-1865384 |
| Address: | 718 SW Port Saint Lucie Blvd.,, Port Saint Lucie, FL, 34953, US |
| Mail Address: | 718 Sw PORT SAINT LUCIE BLVD., PORT SAINT LUCIE, FL, 34953, US |
| ZIP code: | 34953 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851630180 | 2013-02-06 | 2013-03-27 | 1981 SE PORT ST LUCIE BLVD, SUITE 2, PORT SAINT LUCIE, FL, 349525555, US | 549 SE STARFLOWER AVE, PORT SAINT LUCIE, FL, 349834578, US | |||||||||||||||||||||||||
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| Phone | +1 772-249-8255 |
| Fax | 7722498256 |
Authorized person
| Name | MAGALYS KOCH |
| Role | OWNER/ PRACTIONER |
| Phone | 7722498255 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW9799 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PTAN |
| Number | DI480Z |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KOCH MAGALYS | Agent | 718 SW PORT SAINT LUCIE BLVD STE E5, PORT ST LUCIE, FL, 34953 |
| Name | Role | Address |
|---|---|---|
| Lofgren Guy | Manager | 718 Sw PORT SAINT LUCIE BLVD., PORT SAINT LUCIE, FL, 34953 |
| KOCH MAGALYS | Manager | 549 SE STARFLOWER AVE, PORT SAINT LUCIE, FL, 34983 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2015-08-17 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-08-17 | KOCH, MAGALYS | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-08-17 | 718 SW PORT SAINT LUCIE BLVD STE E5, PORT ST LUCIE, FL 34953 | No data |
| CHANGE OF MAILING ADDRESS | 2014-03-02 | 718 SW Port Saint Lucie Blvd.,, Unit E5, Port Saint Lucie, FL 34953 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-11-22 | 718 SW Port Saint Lucie Blvd.,, Unit E5, Port Saint Lucie, FL 34953 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-03-26 |
| ANNUAL REPORT | 2021-04-18 |
| ANNUAL REPORT | 2020-03-29 |
| ANNUAL REPORT | 2019-03-30 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-11 |
| ANNUAL REPORT | 2016-03-28 |
| LC Amendment | 2015-08-17 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
