| Entity Name: | L&M'S COMPLETE CARE MENTAL HEALTH COUNSELING INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 13 Jun 2014 (11 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | N14000005698 |
| FEI/EIN Number | 47-1164903 |
| Address: | 3536 LAKE TINY CIRCLE, ORLANDO, FL, 32818 |
| Mail Address: | 3536 LAKE TINY CIRCLE, ORLANDO, FL, 32818 |
| ZIP code: | 32818 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225430036 | 2014-09-23 | 2019-06-06 | 3536 LAKE TINY CIR, ORLANDO, FL, 328182297, US | 750 S ORANGE BLOSSOM TRL, ORLANDO, FL, 328053118, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 407-756-2228 |
| Fax | 4072506037 |
Authorized person
| Name | LUCNER METELLUS |
| Role | MENTAL HEALTH THERAPIST |
| Phone | 4077562228 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | IMH 10469 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 12254300036 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| METELLUS LUCNER | Agent | 3536 LAKE TINY CIRCLE, ORLANDO, FL, 32818 |
| Name | Role | Address |
|---|---|---|
| METELLUS LUCNER | Director | 3536 LAKE TINY CIRCLE, ORLANDO, FL, 32818 |
| SAINTUNY MICHELLE L | Director | 652 NEUMANN VILLAGE CT, OCOEE, FL, 34761 |
| METELLUS LUCNISE | Director | 3536 LAKE TINY CR, ORLANDO, FL, 32818 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-01-22 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-01-26 |
| ANNUAL REPORT | 2020-02-27 |
| ANNUAL REPORT | 2019-02-26 |
| ANNUAL REPORT | 2018-02-16 |
| ANNUAL REPORT | 2017-04-08 |
| ANNUAL REPORT | 2016-03-31 |
| ANNUAL REPORT | 2015-01-02 |
| Domestic Non-Profit | 2014-06-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
