| Entity Name: | DELSY A. GUZMAN COUNSELLING SERVICE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 19 Jun 2000 (25 years ago) |
| Document Number: | P00000061053 |
| FEI/EIN Number | 593653418 |
| Address: | 5390 Hoffner Ave., Suite H, Orlando, FL, 32812, US |
| Mail Address: | 2052 Excalibur Dr., Orlando, FL, 32822, US |
| ZIP code: | 32812 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407163926 | 2010-09-03 | 2016-07-05 | 2052 EXCALIBUR DR, ORLANDO, FL, 328228318, US | 5390 HOFFNER AVE, SUITE H, ORLANDO, FL, 328122458, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 407-928-8178 |
| Phone | +1 407-270-4849 |
| Fax | 4073810697 |
Authorized person
| Name | MS. DELSY GUZMAN |
| Role | PRESIDENT |
| Phone | 4079288178 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | MH5529 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 0168853800 |
| State | FL |
| Issuer | MEDICAID |
| Number | 811444700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GUZMAN DELSY A | Agent | 2052 Excalibur Dr., Orlando, FL, 32822 |
| Name | Role | Address |
|---|---|---|
| GUZMAN DELSY A | President | 2052 Excalibur Dr., ORLANDO, FL, 32822 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-02-13 | 5390 Hoffner Ave., Suite H, Orlando, FL 32812 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-02-11 | 2052 Excalibur Dr., Orlando, FL 32822 | No data |
| CHANGE OF MAILING ADDRESS | 2015-02-23 | 5390 Hoffner Ave., Suite H, Orlando, FL 32812 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-03 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-03-05 |
| ANNUAL REPORT | 2021-02-28 |
| ANNUAL REPORT | 2020-02-08 |
| ANNUAL REPORT | 2019-03-03 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-02-11 |
| ANNUAL REPORT | 2015-02-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
