Entity Name: | SAVING GRACE COUNSELING SERVICES,LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 02 Aug 2016 (9 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 22 May 2017 (8 years ago) |
Document Number: | L16000144565 |
FEI/EIN Number | 81-4071782 |
Address: | 4121 East Busch Blvd, Temple Terrace, FL, 33617, US |
Mail Address: | PO BOX 292305, TEMPLE TERRACE, FL, 33687, US |
ZIP code: | 33617 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1518487164 | 2017-06-25 | 2022-07-21 | 935 MAIN ST STE B2, SAFETY HARBOR, FL, 346953471, US | 935 MAIN ST STE B2, SAFETY HARBOR, FL, 346953471, US | |||||||||||||||||||||||
|
Phone | +1 941-462-5737 |
Authorized person
Name | SABRINA WARNER |
Role | MANAGER |
Phone | 9414625737 |
Taxonomy
Taxonomy Code | 101YM0800X - Mental Health Counselor |
License Number | MH12983 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 019694300 |
State | FL |
Name | Role | Address |
---|---|---|
Milbry Pamela LMHC | Agent | 3105 West Azeele Street, TAMPA, FL, 33609 |
Name | Role | Address |
---|---|---|
WARNER SABRINA | President | 4121 East Busch Blvd, Temple Terrace, FL, 33617 |
Warner Sabrina D | President | PO BOX 292305, TEMPLE TERRACE, FL, 33687 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-04-27 | 4121 East Busch Blvd, #716, Temple Terrace, FL 33617 | No data |
REGISTERED AGENT NAME CHANGED | 2020-06-29 | Milbry, Pamela, LMHC | No data |
REGISTERED AGENT ADDRESS CHANGED | 2020-06-29 | 3105 West Azeele Street, TAMPA, FL 33609 | No data |
LC AMENDMENT | 2017-05-22 | No data | No data |
CHANGE OF MAILING ADDRESS | 2017-05-22 | 4121 East Busch Blvd, #716, Temple Terrace, FL 33617 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-27 |
ANNUAL REPORT | 2023-04-28 |
ANNUAL REPORT | 2022-04-29 |
ANNUAL REPORT | 2021-04-30 |
ANNUAL REPORT | 2020-06-29 |
ANNUAL REPORT | 2019-04-29 |
ANNUAL REPORT | 2018-05-01 |
LC Amendment | 2017-05-22 |
ANNUAL REPORT | 2017-04-29 |
Florida Limited Liability | 2016-08-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State