| Entity Name: | NU HOPE COUNSELING PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Aug 2013 (11 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 07 Oct 2024 (4 months ago) |
| Document Number: | L13000122191 |
| Mail Address: | 4651 Wandering Way, Wesley Chapel, FL, 33544, US |
| Address: | 3903 Northdale Blvd Suite 100-47, Tampa, FL, 33624, US |
| ZIP code: | 33624 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1073918546 | 2014-10-27 | 2024-03-15 | 4651 WANDERING WAY, WESLEY CHAPEL, FL, 335448500, US | 4651 WANDERING WAY, WESLEY CHAPEL, FL, 335448500, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-907-0285 |
| Fax | 8134065158 |
Authorized person
| Name | DR. BRIAN KEITH BOLEN |
| Role | OWNER |
| Phone | 8139070285 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| License Number | CAP2482 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH8545 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| License Number | MT2960 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | MH 8545 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 105537700 |
| State | FL |
| Issuer | MEDICAID |
| Number | 117689500 |
| State | FL |
| Issuer | MEDICAID |
| Number | 116009200 |
| State | FL |
| Issuer | MEDICAID |
| Number | 119880200 |
| State | FL |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| BOLEN BRIAN | Authorized Member | 4651 Wandering Way, Wesley Chapel, FL, 33544 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-11-04 | 3903 Northdale Blvd Suite 100-47, Tampa, FL 33624 | No data |
| REINSTATEMENT | 2024-10-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-02 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-22 | 3903 Northdale Blvd Suite 100-47, Tampa, FL 33624 | No data |
| REINSTATEMENT | 2015-12-15 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-12-15 | UNITED STATES CORPORATION AGENTS, INC. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-10-07 |
| ANNUAL REPORT | 2023-03-21 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-03-12 |
| ANNUAL REPORT | 2020-03-26 |
| ANNUAL REPORT | 2019-03-23 |
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-03-29 |
| ANNUAL REPORT | 2016-04-29 |
| REINSTATEMENT | 2015-12-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
