| Entity Name: | CROSSINGBRIDGES, COUNSELING SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 10 Jan 2017 (8 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | N17000000251 |
| FEI/EIN Number | 82-3848525 |
| Address: | 17301 Pagonia Road, SUITE 220A, Clermont, FL, 34711-5996, US |
| Mail Address: | PO BOX 120802, CLERMONT, FL, 34712, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437647948 | 2018-04-30 | 2018-05-02 | 3739 BRIAR RUN DR, CLERMONT, FL, 347119633, US | 17301 PAGONIA DR STE 220A, CLERMONT, FL, 347115996, US | |||||||||||||||||||||||||||||
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| Phone | +1 407-230-2357 |
Authorized person
| Name | MS. DAISY ROMAN |
| Role | LICENSED MENTAL HEALTH COUNSELOR |
| Phone | 4072302357 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ROMAN DAISY | Agent | 17301 Pagonia Road, Clermont, FL, 347115996 |
| Name | Role | Address |
|---|---|---|
| ROMAN DAISY | President | 3739 BRIAR RUN DRIVE, CLERMONT, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| AUSTIN DONNA | Secretary | 14832 MASTHEAD LANDING CIRCLE, WINTER GARDENT, FL, 34787 |
| Name | Role | Address |
|---|---|---|
| SHAW TONY | Othe | 3872 LONG BRANCH LANE APOPKA, APOPKA, FL, 32712 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-12 | 17301 Pagonia Road, SUITE 220A, Clermont, FL 34711-5996 | No data |
| REINSTATEMENT | 2020-11-06 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-11-06 | ROMAN, DAISY | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REVOCATION OF VOLUNTARY DISSOLUT | 2020-06-24 | No data | No data |
| VOLUNTARY DISSOLUTION | 2020-06-17 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-30 | 17301 Pagonia Road, SUITE 220A, Clermont, FL 34711-5996 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-30 | 17301 Pagonia Road, SUITE 220A, Clermont, FL 34711-5996 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-05-31 |
| ANNUAL REPORT | 2021-04-12 |
| REINSTATEMENT | 2020-11-06 |
| Revocation of Dissolution | 2020-06-24 |
| VOLUNTARY DISSOLUTION | 2020-06-17 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-01-16 |
| Domestic Non-Profit | 2017-01-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
