| Entity Name: | DISCOVERY COUNSELING SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Jan 2018 (7 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 17 Dec 2021 (3 years ago) |
| Document Number: | L18000001291 |
| FEI/EIN Number | 82-3984035 |
| Address: | 1353 N COURTENAY PKWY, MERRITT ISLAND, FL, 32953, US |
| Mail Address: | 1353 N COURTENAY PKWY, STE L, MERRITT ISLAND, FL, 32953 |
| ZIP code: | 32953 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780192377 | 2018-01-17 | 2020-01-29 | 13453 N MAIN ST, SUITE 104, JACKSONVILLE, FL, 32218, US | 13453 N MAIN ST, SUITE 104, JACKSONVILLE, FL, 32218, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-801-3794 |
| Fax | 9043399967 |
Authorized person
| Name | JAMES STEVEN SWEENEY |
| Role | CEO, LCSW |
| Phone | 9048013794 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 104100000X - Social Worker |
| Is Primary | No |
| Taxonomy Code | 1041S0200X - School Social Worker |
| Is Primary | No |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 024953900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TIMNEY LAUREN | Agent | 1353 N COURTENAY PKWY, MERRITT ISLAND, FL, 32953 |
| Name | Role | Address |
|---|---|---|
| LAUREN TIMNEY AMS, LMH | Manager | 1353 NORTH COURTENAY PARKWAY, MERRITT ISLAND, FL, 32953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2021-12-17 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2021-12-17 | 1353 N COURTENAY PKWY, MERRITT ISLAND, FL 32953 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-12-17 | TIMNEY, LAUREN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-12-17 | 1353 N COURTENAY PKWY, STE L, MERRITT ISLAND, FL 32953 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-07-19 | 1353 N COURTENAY PKWY, MERRITT ISLAND, FL 32953 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-01-04 |
| ANNUAL REPORT | 2022-01-27 |
| LC Amendment | 2021-12-17 |
| ANNUAL REPORT | 2021-03-13 |
| ANNUAL REPORT | 2020-03-17 |
| ANNUAL REPORT | 2019-03-05 |
| Florida Limited Liability | 2018-01-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
