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NORTH STAR COUNSELING OF CENTRAL FLORIDA LLC

Company Details

Entity Name: NORTH STAR COUNSELING OF CENTRAL FLORIDA LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 15 Oct 2014 (10 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 16 Jan 2025 (19 days ago)
Document Number: L14000160934
FEI/EIN Number 47-2088851
Mail Address: PO Box 682427, Franklin, TN, 37068, US
Address: 2980 Park Pond Way, KIssimmee, FL, 34741, US
ZIP code: 34741
County: Osceola
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1497151369 2014-11-05 2022-03-03 107 E MONUMENT AVE, KISSIMMEE, FL, 347415761, US 2980 PARK POND WAY, KISSIMMEE, FL, 347417660, US

Contacts

Phone +1 407-930-4711
Fax 8662551576

Authorized person

Name WILSON GIOVANNI VILLANUEVA
Role CLINICAL DIRECTOR
Phone 4079304711

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
License Number MH12912
State FL
Is Primary Yes

Agent

Name Role Address
Lanning Chad Agent 515 E. PARK AVE., 2ND FLOOR, TALLAHASSEE, FL, 32301

Chief Executive Officer

Name Role Address
Shain Kristi Chief Executive Officer 508 Autumn Springs Ct. Ste A, Franklin, TN, 37067

Chief Financial Officer

Name Role Address
Lanning Chad Chief Financial Officer 508 Autumn Springs Ct. Ste A, Franklin, TN, 37067

Chief Operating Officer

Name Role Address
Martin Scott Chief Operating Officer 508 Autumn Springs Ct. Ste A, Franklin, TN, 37067

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2025-01-16 CAPITOL CORPORATE SERVICES, INC. No data
LC STMNT OF RA/RO CHG 2025-01-16 No data No data
REGISTERED AGENT ADDRESS CHANGED 2025-01-16 515 E PARK AVE, 2ND FL, TALLAHASSEE, FL 32301 No data
REGISTERED AGENT NAME CHANGED 2023-11-28 Lanning, Chad No data
REINSTATEMENT 2023-11-28 No data No data
CHANGE OF MAILING ADDRESS 2023-11-28 2980 Park Pond Way, KIssimmee, FL 34741 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
REGISTERED AGENT ADDRESS CHANGED 2023-02-23 515 E. PARK AVE., 2ND FLOOR, TALLAHASSEE, FL 32301 No data
LC AMENDMENT 2023-02-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2021-01-26 2980 Park Pond Way, KIssimmee, FL 34741 No data

Documents

Name Date
ANNUAL REPORT 2024-01-31
REINSTATEMENT 2023-11-28
LC Amendment 2023-02-23
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-01-26
ANNUAL REPORT 2020-02-10
ANNUAL REPORT 2019-02-21
ANNUAL REPORT 2018-06-06
REINSTATEMENT 2017-12-04
ANNUAL REPORT 2016-01-12

Date of last update: 02 Feb 2025

Sources: Florida Department of State