| Entity Name: | ASCENT CHRISTIAN COUNSELING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Jan 2022 (3 years ago) |
| Document Number: | L22000047387 |
| FEI/EIN Number | 88-0949863 |
| Address: | 824 N FERDON BLVD, CRESTVIEW, FL, 32536 |
| Mail Address: | 824 N. Ferdon Blvd, CRESTVIEW, FL, 32539, US |
| ZIP code: | 32536 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073255279 | 2022-04-08 | 2024-09-02 | 4680 LOVEGRASS LN, CRESTVIEW, FL, 325398357, US | 824 N FERDON BLVD, CRESTVIEW, FL, 325362157, US | |||||||||||||||||||||||||||||
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| Phone | +1 850-603-0941 |
Authorized person
| Name | HEATHER ALLEN |
| Role | OWNER/LICENSED MENTAL HEALTH COUN. |
| Phone | 8506030941 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ALLEN HEATHER W | Agent | 4680 LOVEGRASS LN, CRESTVIEW, FL, 32539 |
| Name | Role | Address |
|---|---|---|
| ALLEN HEATHER W | Authorized Person | 4680 LOVEGRASS LN, CRESTVIEW, FL, 32539 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-01-24 | 824 N FERDON BLVD, CRESTVIEW, FL 32536 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-19 |
| ANNUAL REPORT | 2023-01-24 |
| Florida Limited Liability | 2022-01-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
