| Entity Name: | NSK COUNSELING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 Dec 2019 (5 years ago) |
| Document Number: | L20000007793 |
| FEI/EIN Number | 84-4177231 |
| Address: | 478 N Babcock St Suite 103, Melbourne, FL, 32935, US |
| Mail Address: | 478 N Babcock St Suite 103, Melbourne, FL, 32935, US |
| ZIP code: | 32935 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710518519 | 2020-01-30 | 2020-01-30 | 1501 ROBERT J CONLAN BLVD NE STE 200, PALM BAY, FL, 329053561, US | 1501 ROBERT J CONLAN BLVD NE STE 200, PALM BAY, FL, 329053561, US | |||||||||||||||||||||
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| Phone | +1 321-723-8823 |
| Fax | 3217239551 |
Authorized person
| Name | NANCY KLEIN |
| Role | OWNER |
| Phone | 3217238823 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 023971800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KLEIN NANCY S | Agent | 1501 ROBERT CONLAN BOULEVARD, PALM BAY, FL, 32905 |
| Name | Role | Address |
|---|---|---|
| KLEIN NANCY S | Manager | 1501 ROBERT CONLAN BOULEVARD, PALM BAY, FL, 32905 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-13 | 478 N Babcock St Suite 103, Melbourne, FL 32935 | No data |
| CHANGE OF MAILING ADDRESS | 2024-05-13 | 478 N Babcock St Suite 103, Melbourne, FL 32935 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-10 | 1501 ROBERT CONLAN BOULEVARD, SUITE 200, PALM BAY, FL 32905 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-14 |
| ANNUAL REPORT | 2023-02-03 |
| ANNUAL REPORT | 2022-04-01 |
| ANNUAL REPORT | 2021-01-10 |
| Florida Limited Liability | 2019-12-31 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
