Entity Name: | RISE UP MENTAL HEALTH COUNSELING, PLLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 30 Sep 2020 (4 years ago) |
Document Number: | L20000308547 |
FEI/EIN Number | 85-3423739 |
Address: | 1110 Highway A1A, Satellite Beach, FL, 32937, US |
Mail Address: | 2279 ROYAL POINCIANA BLVD, MELBOURNE, FL, 32935, US |
ZIP code: | 32937 |
County: | Brevard |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1962109082 | 2023-02-09 | 2023-02-09 | 1110 HIGHWAY A1A, MELBOURNE, FL, 329372409, US | 1110 HIGHWAY A1A, MELBOURNE, FL, 329372409, US | |||||||||||||||||||
|
Phone | +1 321-345-7032 |
Authorized person
Name | MR. ZACHARY SCOTT HILTON |
Role | OWNER |
Phone | 3214084040 |
Taxonomy
Taxonomy Code | 101YM0800X - Mental Health Counselor |
Is Primary | Yes |
Other Provider Identifiers
Issuer | NPI |
Number | 1700421534 |
State | FL |
Name | Role | Address |
---|---|---|
HILTON ZACHARY S | Agent | 1110 Highway A1A, Satellite Beach, FL, 32937 |
Name | Role | Address |
---|---|---|
HILTON ZACHARY S | Owne | 1110 Highway A1A, Satellite Beach, FL, 32937 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2021-02-24 | 1110 Highway A1A, Suite 107, Satellite Beach, FL 32937 | No data |
CHANGE OF MAILING ADDRESS | 2021-02-24 | 1110 Highway A1A, Suite 107, Satellite Beach, FL 32937 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2021-02-24 | 1110 Highway A1A, Suite 107, Satellite Beach, FL 32937 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-07 |
ANNUAL REPORT | 2024-01-31 |
ANNUAL REPORT | 2023-01-30 |
ANNUAL REPORT | 2022-03-10 |
ANNUAL REPORT | 2021-02-24 |
Florida Limited Liability | 2020-09-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State