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THE HEALING CREST COUNSELING SERVICES, LLC

Company Details

Entity Name: THE HEALING CREST COUNSELING SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 28 Feb 2017 (8 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 18 Apr 2022 (3 years ago)
Document Number: L17000046602
FEI/EIN Number 82-2126631
Address: 2500 Hollywood Blvd, Hollywood, FL, 33020, US
Mail Address: 2500 Hollywood Blvd, Hollywood, FL, 33020, US
ZIP code: 33020
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811306020 2014-08-13 2024-04-04 2500 HOLLYWOOD BLVD STE 103, HOLLYWOOD, FL, 330206615, US 2500 HOLLYWOOD BLVD STE 103, HOLLYWOOD, FL, 330206615, US

Contacts

Phone +1 754-777-6871

Authorized person

Name MRS. LAMORA D PACE
Role PRESIDENT/CEO
Phone 9547029021

Taxonomy

Taxonomy Code 101YA0400X - Addiction (Substance Use Disorder) Counselor
License Number CAP ADC-001430-2014
State FL
Is Primary No
Taxonomy Code 101YM0800X - Mental Health Counselor
License Number SW9459
State FL
Is Primary Yes
Taxonomy Code 251B00000X - Case Management Agency
License Number CCMS100206-AC
State FL
Is Primary No

Agent

Name Role Address
PACE LAMORA D Agent 2500 Hollywood Blvd, Hollywood, FL, 33020

Manager

Name Role Address
PACE LAMORA D Manager 2500 Hollywood Blvd, Hollywood, FL, 33020

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-28 2500 Hollywood Blvd, 103, Hollywood, FL 33020 No data
CHANGE OF MAILING ADDRESS 2023-04-28 2500 Hollywood Blvd, 103, Hollywood, FL 33020 No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-28 2500 Hollywood Blvd, 103, Hollywood, FL 33020 No data
LC NAME CHANGE 2022-04-18 THE HEALING CREST COUNSELING SERVICES, LLC No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-04-30
LC Name Change 2022-04-18
ANNUAL REPORT 2021-02-24
ANNUAL REPORT 2020-06-22
ANNUAL REPORT 2019-03-04
ANNUAL REPORT 2018-03-26
Florida Limited Liability 2017-02-28

Date of last update: 01 Feb 2025

Sources: Florida Department of State