| Entity Name: | GRACE FROM DARKNESS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
GRACE FROM DARKNESS, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 12 Feb 2018 (7 years ago) |
| Document Number: | L18000039233 |
| FEI/EIN Number |
81-3505101
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 11649 Northwest 12th Street, Coral Springs, FL, 33071, US |
| Mail Address: | 11649 Northwest 12th Street, Coral Springs, FL, 33071, US |
| ZIP code: | 33071 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407359045 | 2018-03-09 | 2024-01-18 | 1515 N UNIVERSITY DR, CORAL SPRINGS, FL, 330716096, US | 1515 N UNIVERSITY DR STE 102A, CORAL SPRINGS, FL, 330716083, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 718-872-8456 |
Authorized person
| Name | DEYANIRA BALDERA |
| Role | LICENSED MENTAL HEALTH COUNSELOR |
| Phone | 7188728456 |
Taxonomy
| Taxonomy Code | 101Y00000X - Counselor |
| License Number | MH13131 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| License Number | MH13131 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH13131 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| License Number | MH13131 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | MH13131 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GONZALEZ OMAR | FINA | 11649 NORTHWEST 12TH STREET, CORAL SPRINGS, FL, 33071 |
| Baldera Deyanira | Owne | 11649 Northwest 12th Street, Coral Springs, FL, 33071 |
| BALDERA DEYANIRA | Agent | 11649 Northwest 12th Street, Coral Springs, FL, 33071 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-14 | 11649 Northwest 12th Street, Coral Springs, FL 33071 | - |
| CHANGE OF MAILING ADDRESS | 2021-04-14 | 11649 Northwest 12th Street, Coral Springs, FL 33071 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-14 | 11649 Northwest 12th Street, Coral Springs, FL 33071 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-13 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-06-24 |
| Florida Limited Liability | 2018-02-12 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
