| Entity Name: | INNOVATION COUNSELING CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 03 Feb 2015 (10 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L15000020749 |
| FEI/EIN Number | 47-3008801 |
| Address: | 6620 Southpoint Dr S, 450G, JACKSONVILLE, FL 32225 |
| Mail Address: | 6620 Southpoint Dr S, 450G, JACKSONVILLE, FL 32225 |
| ZIP code: | 32225 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164818217 | 2015-04-15 | 2016-11-29 | 9951 ATLANTIC BLVD, 442, JACKSONVILLE, FL, 322256584, US | 9951 ATLANTIC BLVD, 442, JACKSONVILLE, FL, 322256584, US | |||||||||||||||||||
|
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| Phone | +1 904-327-4261 |
| Phone | +1 904-274-6255 |
Authorized person
| Name | ANGELA MALONE |
| Role | CEO |
| Phone | 9047191043 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH13087 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MALONE, ANGELA R | Agent | 1385 BROOKWOOD FOREST BLVD, 214, JACKSONVILLE, FL 32225 |
| Name | Role | Address |
|---|---|---|
| MALONE, ANGELA | Manager | 6620 Southpoint Dr S, 450G JACKSONVILLE, FL 32225 |
| Smalls, Julian | Manager | 6620 Southpoint Dr S, 450G JACKSONVILLE, FL 32216 |
| Name | Role | Address |
|---|---|---|
| MALONE, ZARIAH | Authorized Representative | 6620 Southpoint Dr S, 450G JACKSONVILLE, FL 32225 |
| Name | Role | Address |
|---|---|---|
| THOMAS, ALEXIS | Authorized Member | 6620 Southpoint Dr S, 450G JACKSONVILLE, FL 32225 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REINSTATEMENT | 2019-01-30 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-01-30 | 6620 Southpoint Dr S, 450G, JACKSONVILLE, FL 32225 | No data |
| CHANGE OF MAILING ADDRESS | 2019-01-30 | 6620 Southpoint Dr S, 450G, JACKSONVILLE, FL 32225 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-01-30 | MALONE, ANGELA R | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| LC AMENDMENT | 2017-01-12 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-30 |
| REINSTATEMENT | 2019-01-30 |
| ANNUAL REPORT | 2017-09-07 |
| LC Amendment | 2017-01-12 |
| ANNUAL REPORT | 2016-03-03 |
| Florida Limited Liability | 2015-02-03 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
