| Entity Name: | BREAKTHROUGH COUNSELING SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Jan 2018 (7 years ago) |
| Document Number: | L18000018967 |
| FEI/EIN Number | 82-4713822 |
| Mail Address: | 1511 E. MCBERRY STREET, TAMPA, FL, 33610, US |
| Address: | 3105 W. AZEELE STREET, TAMPA, FL, 33609, US |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508324781 | 2019-03-07 | 2019-03-07 | 3105 W AZEELE ST, TAMPA, FL, 336093089, US | 3105 W AZEELE ST, TAMPA, FL, 336093089, US | |||||||||||||||||||||||||||||||
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| Phone | +1 813-966-1514 |
Authorized person
| Name | MS. PAMELA MILBRY |
| Role | MENTAL HEALTH THERAPIST |
| Phone | 8139661514 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| 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 | MEDICAID |
| Number | 012572200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MILBRY PAMELA ELMHC | Agent | 1511 E. MCBERRY STREET, TAMPA, FL, 33610 |
| Name | Role | Address |
|---|---|---|
| Milbry Pamela | Chief Executive Officer | 1511 E. MCBERRY STREET, TAMPA, FL, 33610 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-03-13 |
| ANNUAL REPORT | 2019-04-17 |
| Florida Limited Liability | 2018-01-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
