| Entity Name: | ALLGOOD COUNSELING CENTER PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Nov 2019 (5 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 04 Jan 2021 (4 years ago) |
| Document Number: | L19000293200 |
| FEI/EIN Number | 84-4338785 |
| Address: | 920 US Highway 1, Unit F, Sebastian, FL, 32958, US |
| Mail Address: | 920 US Highway 1, Unit F, Sebastian, FL, 32958, US |
| ZIP code: | 32958 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336758374 | 2020-07-27 | 2020-07-27 | 920 US HIGHWAY 1, UNIT F, SEBASTIAN, FL, 32958, US | 920 US HIGHWAY 1, UNIT F, SEBASTIAN, FL, 32958, US | |||||||||||||||||||
|
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| Phone | +1 321-591-9516 |
Authorized person
| Name | CONNIE Y ALLGOOD |
| Role | LICENSED MENTAL HEALTH COUNSELOR |
| Phone | 3215919516 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 104302200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Allgood Connie | Agent | 1624 Las Palmos Dr. SW, Palm Bay, FL, 32908 |
| Name | Role | Address |
|---|---|---|
| ALLGOOD CONNIE | Auth | 1624 LAS PALMOS DR. SW, PALM BAY, FL, 32908 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-01 | 920 US Highway 1, Unit F, Sebastian, FL 32958 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-01 | 920 US Highway 1, Unit F, Sebastian, FL 32958 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-02-01 | Allgood, Connie | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-01 | 1624 Las Palmos Dr. SW, Palm Bay, FL 32908 | No data |
| LC STMNT OF RA/RO CHG | 2021-01-04 | No data | No data |
| LC ARTICLE OF CORRECTION | 2020-01-10 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-03 |
| ANNUAL REPORT | 2023-02-19 |
| ANNUAL REPORT | 2022-04-17 |
| ANNUAL REPORT | 2021-02-01 |
| CORLCRACHG | 2021-01-04 |
| LC Article of Correction | 2020-01-10 |
| Florida Limited Liability | 2019-11-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
