| Entity Name: | SELF QUEST COUNSELING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 13 Oct 2016 (8 years ago) |
| Date of dissolution: | 20 Dec 2021 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 20 Dec 2021 (3 years ago) |
| Document Number: | L16000189948 |
| FEI/EIN Number | 81-5004276 |
| Address: | 3959 S NOVA RD, PORT ORANGE, FL, 32127, US |
| Mail Address: | 3959 S NOVA RD, PORT ORANGE, FL, 32127, US |
| ZIP code: | 32127 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013468313 | 2016-10-21 | 2021-03-31 | 533 N NOVA RD, SUITE 203, ORMOND BEACH, FL, 321744447, US | 3959 S NOVA RD STE B-15, PORT ORANGE, FL, 321279278, US | |||||||||||||||||||
|
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| Phone | +1 386-566-6632 |
| Fax | 8554710759 |
Authorized person
| Name | DR. DANIEL E NOVAK |
| Role | OWNER/PSYCHOTHERAPIST |
| Phone | 3865666632 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW13968 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NOVAK DANIEL E | Agent | 3959 S NOVA RD, PORT ORANGE, FL, 32127 |
| Name | Role | Address |
|---|---|---|
| NOVAK DANIEL E | Authorized Representative | 3959 S NOVA RD, PORT ORANGE, FL, 32127 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-12-20 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-03-18 | NOVAK, DANIEL E | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-20 | 3959 S NOVA RD, SUITE B-15, PORT ORANGE, FL 32127 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-11-13 | 3959 S NOVA RD, SUITE B-15, PORT ORANGE, FL 32127 | No data |
| CHANGE OF MAILING ADDRESS | 2017-11-13 | 3959 S NOVA RD, SUITE B-15, PORT ORANGE, FL 32127 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-12-20 |
| AMENDED ANNUAL REPORT | 2021-03-18 |
| ANNUAL REPORT | 2021-03-12 |
| ANNUAL REPORT | 2020-02-21 |
| ANNUAL REPORT | 2019-03-12 |
| ANNUAL REPORT | 2018-04-20 |
| ANNUAL REPORT | 2017-02-25 |
| Florida Limited Liability | 2016-10-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
