| Entity Name: | IRIS G SANTOS COUNSELING "LLC" |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 May 2020 (5 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 28 Jul 2021 (4 years ago) |
| Document Number: | L20000136173 |
| FEI/EIN Number | 85-1195342 |
| Address: | 1317 Edgewater DR, Suite 3354, ORLANDO, FL 32810 |
| Mail Address: | 7255 Jonquil Dr, Orlando, FL 32818 |
| ZIP code: | 32810 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952053803 | 2022-01-21 | 2022-12-27 | 6249 EDGEWATER DR # 1058, ORLANDO, FL, 328104739, US | 6249 EDGEWATER DR # 1058, ORLANDO, FL, 328104739, US | |||||||||||||||||||||||
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| Phone | +1 689-231-1235 |
| Fax | 8773880384 |
| Phone | +1 321-438-5826 |
Authorized person
| Name | MS. IRIS GRISELDA SANTOS |
| Role | OWNER |
| Phone | 6892311235 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 111169900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SANTOS, IRIS G | Agent | 7255 Jonquil Dr, Orlando, FL 32818 |
| Name | Role | Address |
|---|---|---|
| SANTOS, IRIS G | Authorized Member | 7255 Jonquil Dr, Orlando, FL 32818 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000055757 | I SANTOS CREATION | ACTIVE | 2024-04-26 | 2029-12-31 | No data | 1317 EDGE WATER DR, SUITE# 3354, ORLANDO, FL, 32804 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-14 | 1317 Edgewater DR, Suite 3354, ORLANDO, FL 32810 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-14 | 1317 Edgewater DR, Suite 3354, ORLANDO, FL 32810 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-14 | 7255 Jonquil Dr, Orlando, FL 32818 | No data |
| LC NAME CHANGE | 2021-07-28 | IRIS G SANTOS COUNSELING "LLC" | No data |
| LC AMENDMENT | 2020-10-01 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-14 |
| ANNUAL REPORT | 2023-01-03 |
| ANNUAL REPORT | 2022-01-15 |
| LC Name Change | 2021-07-28 |
| ANNUAL REPORT | 2021-02-02 |
| LC Amendment | 2020-10-01 |
| Florida Limited Liability | 2020-05-19 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
