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CHOICE TO CHANGE, INC.

Company Details

Entity Name: CHOICE TO CHANGE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 18 Feb 2010 (15 years ago)
Document Number: N10000001851
FEI/EIN Number 271984536
Address: 1897 Palm Beach Lakes Blvd, WEST PALM BEACH, FL, 33409, US
Mail Address: 17736 Mellen Ln, JUPITER, FL, 33478, US
ZIP code: 33409
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124449988 2013-12-21 2014-02-07 17772 BRIDLE LN, JUPITER, FL, 334784718, US 17772 BRIDLE LN, JUPITER, FL, 334784718, US

Contacts

Phone +1 561-745-1779
Fax 5617451780

Authorized person

Name LYNN TRIMBLE
Role PRESIDENT
Phone 5617451779

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
License Number MH12298
State FL
Is Primary No
Taxonomy Code 1041C0700X - Clinical Social Worker
License Number SW10878
State FL
Is Primary Yes

Agent

Name Role Address
HELGESEN ANDREW Agent 11380 PROSPERITY FARMS ROAD, PALM BEACH GARDEN, FL, 33410

Exec

Name Role Address
Trimble Lynn Exec 17736 Mellen Lane, Jupiter, FL, 33478

President

Name Role Address
TWOEY BRITTANY President 15741 92nd Way N, JUPITER, FL, 33478

Secretary

Name Role Address
TWOEY MARTIE Secretary 12040 169TH COURT, JUPITER, FL, 33478

Advi

Name Role Address
Whelihan Dave Advi 18629 Lochpoint Court, Jupiter, FL, 33458
Twoey Emery Advi 12040 169th Court north, Jupiter, FL, 33478

Lice

Name Role Address
Bencosme LMHC Gloria Lice 2781 10th Avenue North #111, Lake Worth, FL, 33461

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G11000066111 CHOICE TO CHANGE ACADEMY EXPIRED 2011-06-30 2016-12-31 No data 17772 BRIDLE LANE, JUPITER, FL, 33478
G11000066115 BURRITO BUST EXPIRED 2011-06-30 2016-12-31 No data 17772 BRIDLE LANE, JUPITER, FL, 33478

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-02-02 1897 Palm Beach Lakes Blvd, SUITE 209, WEST PALM BEACH, FL 33409 No data
CHANGE OF MAILING ADDRESS 2021-04-27 1897 Palm Beach Lakes Blvd, SUITE 209, WEST PALM BEACH, FL 33409 No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-03-30
ANNUAL REPORT 2024-03-28
ANNUAL REPORT 2023-02-02
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-04-27
ANNUAL REPORT 2020-07-02
ANNUAL REPORT 2019-05-20
ANNUAL REPORT 2018-04-02
ANNUAL REPORT 2017-03-08
ANNUAL REPORT 2016-03-23

Date of last update: 01 Jan 2025

Sources: Florida Department of State