| Entity Name: | GOOD SHEPHERD COUNSELING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Jul 2017 (8 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 28 Oct 2019 (5 years ago) |
| Document Number: | L17000151840 |
| FEI/EIN Number | 82-2300381 |
| Address: | 265 EAST GRAVES AVENUE, ORANGE CITY, FL, 32763, US |
| Mail Address: | 265 EAST GRAVES AVENUE, ORANGE CITY, FL, 32763, US |
| ZIP code: | 32763 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346905916 | 2021-11-08 | 2021-11-08 | 265 E GRAVES AVE, ORANGE CITY, FL, 327635213, US | 265 E GRAVES AVE, ORANGE CITY, FL, 327635213, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 386-624-2177 |
Authorized person
| Name | MR. DAVID ALLAN SPELLMAN |
| Role | OWNER |
| Phone | 3866242177 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | No |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1609207216 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SPELLMAN DAVID A | Agent | 265 EAST GRAVES AVENUE, ORANGE CITY, FL, 32763 |
| Name | Role | Address |
|---|---|---|
| SPELLMAN DAVID | Authorized Representative | 265 EAST GRAVES AVENUE, ORANGE CITY, FL, 32763 |
| Name | Role | Address |
|---|---|---|
| SPELLMAN DAVID | Manager | 265 EAST GRAVES AVENUE, ORANGE CITY, FL, 32763 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2019-10-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-10 |
| ANNUAL REPORT | 2023-03-12 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-06-28 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-22 |
| Florida Limited Liability | 2017-07-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
