| Entity Name: | NEW WAY COUNSELING SERVICES INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 03 Jan 2017 (8 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 06 Nov 2017 (7 years ago) |
| Document Number: | N17000000028 |
| FEI/EIN Number | 81-5047560 |
| Address: | 4670 LIPSCOMB STREET, SUITE 2, PALM BAY, FL 32905 |
| Mail Address: | 1338 PORT MALABAR BLVD NE, PALM BAY, FL 32905-5259 |
| ZIP code: | 32905 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164878815 | 2016-05-12 | 2018-11-09 | 4670 LIPSCOMB ST NE STE 2, PALM BAY, FL, 329052927, US | 4670 LIPSCOMB ST NE STE 2, PALM BAY, FL, 329052927, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 321-720-1709 |
| Fax | 3217331860 |
| Phone | +1 321-312-1666 |
Authorized person
| Name | MS. RAHILA BASHIR |
| Role | OWNER |
| Phone | 3217201709 |
Taxonomy
| Taxonomy Code | 101YP2500X - Professional Counselor |
| License Number | MH7753 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 251B00000X - Case Management Agency |
| License Number | MH7753 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | MH7753 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 010741800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BASHIR, RAHILA A | Agent | 133 PORT MALABAR BLVD NE, PALM BAY, FL 32905 |
| Name | Role | Address |
|---|---|---|
| Bashir, Rahila A | President | 1338 Port Malabar Blvd NE, Palm Bay, FL 32905 |
| Name | Role | Address |
|---|---|---|
| Bashir, Rahila A | Director | 1338 Port Malabar Blvd NE, Palm Bay, FL 32905 |
| Name | Role | Address |
|---|---|---|
| BASHIR, SAYYED ASAD | VICE PRESIDENT | 1338 PORT MALABAR BLVD, PALM BAY, FL 32905 |
| Name | Role | Address |
|---|---|---|
| SHAH, SARAH | Secretary | 1338 Port Malabar Blvd NE, Palm Bay, FL 32905 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-01-29 | BASHIR, RAHILA A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-02-29 | 133 PORT MALABAR BLVD NE, PALM BAY, FL 32905 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-09-17 | 4670 LIPSCOMB STREET, SUITE 2, PALM BAY, FL 32905 | No data |
| AMENDMENT | 2017-11-06 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2017-06-02 | NEW WAY COUNSELING SERVICES INC. | No data |
| CHANGE OF MAILING ADDRESS | 2017-06-02 | 4670 LIPSCOMB STREET, SUITE 2, PALM BAY, FL 32905 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-02-29 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-01-12 |
| Amendment | 2017-11-06 |
| Amendment and Name Change | 2017-06-02 |
| Domestic Non-Profit | 2017-01-03 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
