| Entity Name: | HIS THERAPEUTIC COUNSELING CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Jan 2014 (11 years ago) |
| Document Number: | L14000010802 |
| FEI/EIN Number | 46-4638212 |
| Address: | 6801 LAKEWORTH ROAD, LAKE WORTH, FL, 33467, US |
| Mail Address: | 6801 LAKEWORTH ROAD, LAKE WORTH, FL, 33467, US |
| ZIP code: | 33467 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053734616 | 2014-01-31 | 2014-03-12 | 8387 MYAKKA CT, LAKE WORTH, FL, 334676228, US | 6415 LAKE WORTH RD, SUITE 208, GREENACRES, FL, 334632910, US | |||||||||||||||||
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| Phone | +1 561-252-3787 |
Authorized person
| Name | ELCIE ARDAIN |
| Role | SOCIAL WORKER |
| Phone | 5612523787 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | SW8983 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ELYSSE-ARDAIN ELCIE | Agent | 6801 LAKEWORTH ROAD, LAKE WORTH, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| ARDAIN ELCIE | Manager | 3095 PEBBLE BEACH DRIVE, LAKE WORTH, FL, 33467 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-03-23 | 6801 LAKEWORTH ROAD, Suite 202, LAKE WORTH, FL 33467 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-23 | 6801 LAKEWORTH ROAD, Suite 202, LAKE WORTH, FL 33467 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-05-05 | 6801 LAKEWORTH ROAD, Suite 202, LAKE WORTH, FL 33467 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-03-23 |
| ANNUAL REPORT | 2020-05-05 |
| ANNUAL REPORT | 2019-05-13 |
| ANNUAL REPORT | 2018-02-16 |
| ANNUAL REPORT | 2017-02-26 |
| ANNUAL REPORT | 2016-05-04 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
