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WELLSPRING COUNSELING, INC.

Company Details

Entity Name: WELLSPRING COUNSELING, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 24 Aug 2009 (15 years ago)
Document Number: N09000008340
FEI/EIN Number 270979279
Address: 14401 Old Cutler Road, Palmetto Bay, FL, 33158, US
Mail Address: 14401 Old Cutler Road, Palmetto Bay, FL, 33158, US
ZIP code: 33158
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558686543 2010-04-01 2024-07-11 14401 OLD CUTLER RD, PALMETTO BAY, FL, 331581722, US 14401 OLD CUTLER RD, PALMETTO BAY, FL, 331581722, US

Contacts

Phone +1 305-722-5380
Fax 8888518245
Phone +1 786-573-7009

Authorized person

Name TOVA J. KREPS
Role PRESIDENT
Phone 3057225380

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role
WELLSPRING COUNSELING, INC. Agent

Boar

Name Role Address
Raffalski Peter Boar 14401 Old Cutler Road, Palmetto Bay, FL, 33158
Kreps Tova J Boar 14401 Old Cutler Road, Palmetto Bay, FL, 33158
Hannon James Boar 14401 Old Cutler Road, Palmetto Bay, FL, 33158
Fernandez Jaime Boar 14401 Old Cutler Road, Palmetto Bay, FL, 33158
McWhirter John Boar 14401 Old Cutler Road, Palmetto Bay, FL, 33158
Morales Omar Boar 14401 Old Cutler Road, Palmetto Bay, FL, 33158

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-02-05 Wellspring Counseling No data
REGISTERED AGENT ADDRESS CHANGED 2014-01-09 14401 Old Cutler Road, Palmetto Bay, FL 33158 No data
CHANGE OF PRINCIPAL ADDRESS 2013-06-12 14401 Old Cutler Road, Palmetto Bay, FL 33158 No data
CHANGE OF MAILING ADDRESS 2013-06-12 14401 Old Cutler Road, Palmetto Bay, FL 33158 No data

Documents

Name Date
ANNUAL REPORT 2024-01-26
ANNUAL REPORT 2023-04-10
ANNUAL REPORT 2022-03-17
ANNUAL REPORT 2021-02-05
ANNUAL REPORT 2020-04-14
AMENDED ANNUAL REPORT 2019-03-11
ANNUAL REPORT 2019-02-20
ANNUAL REPORT 2018-03-12
ANNUAL REPORT 2017-01-16
ANNUAL REPORT 2016-03-28

Date of last update: 01 Jan 2025

Sources: Florida Department of State