| Entity Name: | HEALING PATHWAYS COUNSELING SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 21 Jan 2015 (10 years ago) |
| Document Number: | L15000012296 |
| FEI/EIN Number | 47-2885256 |
| Address: | 111 JEWEL DRIVE, 1007, ALTAMONTE SPRINGS, FL 32714 |
| Mail Address: | 3814 SHADY GROVE CIRCLE, ORLANDO, FL 32810 |
| ZIP code: | 32714 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316424799 | 2018-07-27 | 2018-07-27 | 111 JEWEL DR STE 103, ALTAMONTE SPRINGS, FL, 327142706, US | 111 JEWEL DR STE 103, ALTAMONTE SPRINGS, FL, 327142706, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 407-312-6014 |
| Fax | 4075995002 |
Authorized person
| Name | MRS. CHRISTINA RUTH KUCHMAN |
| Role | THERAPIST/OWNER |
| Phone | 4073126014 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH12841 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW8986 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002547200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KUCHMAN, CHRISTINA | Agent | 3814 SHADY GROVE CIRCLE, ORLANDO, FL 32810 |
| Name | Role | Address |
|---|---|---|
| KUCHMAN, CHRISTINA | Managing Member | 3814 SHADY GROVE CIRCLE, ORLANDO, FL 32810 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-05 | 111 JEWEL DRIVE, 1007, ALTAMONTE SPRINGS, FL 32714 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| AMENDED ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2023-02-06 |
| ANNUAL REPORT | 2022-04-16 |
| ANNUAL REPORT | 2021-04-01 |
| ANNUAL REPORT | 2020-04-05 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-02-24 |
| ANNUAL REPORT | 2017-03-23 |
| ANNUAL REPORT | 2016-04-17 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State
