| Entity Name: | HOPE AND HEALING CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 27 May 2014 (11 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L14000084321 |
| FEI/EIN Number | 46-5426029 |
| Address: | 4411 SUNBEAM RD, #56918, JACKSONVILLE, FL 32257 |
| Mail Address: | 4411 Sunbeam Rd, #56918, JACKSONVILLE, FL 32257 |
| ZIP code: | 32257 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477952364 | 2014-08-18 | 2016-08-29 | 4411 SUNBEAM RD # 56918, SUITE 101, JACKSONVILLE, FL, 322577525, US | 6015 MORROW ST E, SUITE114, JACKSONVILLE, FL, 322172121, US | |||||||||||||||||||||||||
|
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| Phone | +1 800-896-6105 |
| Fax | 9046374716 |
Authorized person
| Name | SELMA ZAKOMAC BACEVAC |
| Role | OWNER/CLINICAL DIRECTOR |
| Phone | 8008966105 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH12197 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 010484600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BACEVAC, SELMA Z, LMHC | Agent | 4411 SUNBEAM RD, #56918, JACKSONVILLE, FL 32257 |
| Name | Role | Address |
|---|---|---|
| BACEVAC, SELMA Z, LMHC | President | 4411 Sunbeam Rd, #56918 JACKSONVILLE, FL 32257 |
| Name | Role |
|---|---|
| PARENT-CHILD RELATIONSHIP INSTITUTE, LLC | Authorized Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-16 | 4411 SUNBEAM RD, #56918, JACKSONVILLE, FL 32257 | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-16 | 4411 SUNBEAM RD, #56918, JACKSONVILLE, FL 32257 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-16 | 4411 SUNBEAM RD, #56918, JACKSONVILLE, FL 32257 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J19000423036 | ACTIVE | 1000000829308 | DUVAL | 2019-06-11 | 2029-06-19 | $ 468.79 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-04-16 |
| ANNUAL REPORT | 2016-04-11 |
| ANNUAL REPORT | 2015-02-22 |
| Florida Limited Liability | 2014-05-27 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State
