Entity Name: | BETH DAVALOS COUNSELING CENTER LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 03 Feb 2016 (9 years ago) |
Document Number: | L16000023421 |
FEI/EIN Number | 81-1387446 |
Address: | 540 East Horatio Avenue, Suite 200, Maitland, FL 32751 |
Mail Address: | 540 East Horatio Avenue, Suite 200, Maitland, FL 32751 |
ZIP code: | 32751 |
County: | Orange |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1932760451 | 2019-06-25 | 2023-03-27 | 2725 EASTERN PKWY, WINTER PARK, FL, 327896601, US | 540 E HORATIO AVE STE 200, MAITLAND, FL, 327517314, US | |||||||||||||||||||
|
Phone | +1 407-620-0869 |
Phone | +1 407-907-2825 |
Authorized person
Name | MS. BETH DAWN DAVALOS |
Role | CLINICAL DIRECTOR |
Phone | 4074019020 |
Taxonomy
Taxonomy Code | 101YM0800X - Mental Health Counselor |
Is Primary | No |
Taxonomy Code | 1041C0700X - Clinical Social Worker |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
DAVALOS, BETH D. | Agent | 2725 Eastern Parkway, Winter Park, FL 32789 |
Name | Role | Address |
---|---|---|
DAVALOS, BETH D. | Director | 540 East Horatio Avenue, Suite 200 Maitland, FL 32751 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G24000068122 | SUNSHINE WELLNESS COUNSELING | ACTIVE | 2024-05-30 | 2029-12-31 | No data | 540 E HORATIO AVE STE 200, MAITLAND, FL, 32751 |
G19000081754 | SUNSHINE SENIOR COUNSELING | ACTIVE | 2019-08-01 | 2029-12-31 | No data | 540 EAST HORATIO AVE, STE 200, MAITLAND, FL, 32751 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2023-05-01 | 540 East Horatio Avenue, Suite 200, Maitland, FL 32751 | No data |
CHANGE OF MAILING ADDRESS | 2023-05-01 | 540 East Horatio Avenue, Suite 200, Maitland, FL 32751 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2022-04-21 | 2725 Eastern Parkway, Winter Park, FL 32789 | No data |
REGISTERED AGENT NAME CHANGED | 2021-03-09 | DAVALOS, BETH D. | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-11 |
ANNUAL REPORT | 2023-05-01 |
ANNUAL REPORT | 2022-04-21 |
ANNUAL REPORT | 2021-03-09 |
ANNUAL REPORT | 2020-06-29 |
ANNUAL REPORT | 2019-04-30 |
ANNUAL REPORT | 2018-04-14 |
ANNUAL REPORT | 2017-04-30 |
Florida Limited Liability | 2016-02-03 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State