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GRACE COUNSELING CENTER LLC

Company Details

Entity Name: GRACE COUNSELING CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 04 Dec 2017 (7 years ago)
Document Number: L17000247086
FEI/EIN Number APPLIED FOR
Address: 655 W Fulton St., unit 12, sanford, FL 32771
Mail Address: 655 W Fulton St., unit 12, sanford, FL 32771
ZIP code: 32771
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003322264 2017-12-22 2017-12-22 209 SAN CARLOS AVE STE 111A, SANFORD, FL, 327711412, US 209 SAN CARLOS AVE STE 111A, SANFORD, FL, 327711412, US

Contacts

Phone +1 407-431-7866

Authorized person

Name TANESHA T BURNS
Role MENTAL HEALTH COUNSELOR
Phone 4074317866

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
License Number MH15463
State FL
Is Primary Yes

Agent

Name Role Address
BURNS, TANESHA T, LMHC Agent 655 W Fulton St., unit 12, sanford, FL 32771

OWNER

Name Role Address
BURNS, TANESHA T, LMHC OWNER 655 W. FULTON ST., UNIT 12 SANFORD, FL 32771

SOLE PROPIETOR

Name Role Address
BURNS, TANESHA T, LMHC SOLE PROPIETOR 655 W. FULTON ST., UNIT 12 SANFORD, FL 32771

MANAGER

Name Role Address
BURNS, TANESHA T, LMHC MANAGER 655 W. FULTON ST., UNIT 12 SANFORD, FL 32771

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-01-26 655 W Fulton St., unit 12, sanford, FL 32771 No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-26 655 W Fulton St., unit 12, sanford, FL 32771 No data
CHANGE OF PRINCIPAL ADDRESS 2022-05-31 655 W Fulton St., unit 12, sanford, FL 32771 No data

Documents

Name Date
ANNUAL REPORT 2025-01-28
ANNUAL REPORT 2024-02-13
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-01-28
ANNUAL REPORT 2021-02-27
ANNUAL REPORT 2020-06-08
ANNUAL REPORT 2019-04-05
ANNUAL REPORT 2018-04-04
Florida Limited Liability 2017-12-04

Date of last update: 17 Feb 2025

Sources: Florida Department of State