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CHAPPELL COUNSELING GROUP LLC - Florida Company Profile

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Company Details

Entity Name: CHAPPELL COUNSELING GROUP LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 May 2021 (4 years ago)
Document Number: L21000222795
FEI/EIN Number 86-3824674
Address: 1133 Louisiana Avenue, Winter Park, FL, 32789, US
Mail Address: 1133 Louisiana Avenue, Winter Park, FL, 32789, US
ZIP code: 32789
City: Winter Park
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CHAPPELL DERICK Owne 1133 Louisiana Avenue, Winter Park, FL, 32789
CHAPPELL DERICK Agent 1133 Louisiana Avenue, Winter Park, FL, 32789

National Provider Identifier

NPI Number:
1679147805
Certification Date:
2021-05-13

Authorized Person:

Name:
DERICK CHAPPELL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000091549 GIANT WAVE MENTAL HEALTH ACTIVE 2023-08-05 2028-12-31 - 1133 LOUISIANA AVENUE, SUITE 209, WINTER PARK, FL 32789, FL, 32789

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-03-15 1133 Louisiana Avenue, 209, Winter Park, FL 32789 -
CHANGE OF MAILING ADDRESS 2022-03-15 1133 Louisiana Avenue, 209, Winter Park, FL 32789 -
REGISTERED AGENT NAME CHANGED 2022-03-15 CHAPPELL, DERICK -
REGISTERED AGENT ADDRESS CHANGED 2022-03-15 1133 Louisiana Avenue, 209, Winter Park, FL 32789 -

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-17
ANNUAL REPORT 2022-03-15
Florida Limited Liability 2021-05-13

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Date of last update: 02 Aug 2025

Sources: Florida Department of State