| Entity Name: | COUNSELING AND BEHAVIORAL SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 19 Sep 2001 (23 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P01000091628 |
| FEI/EIN Number | 593745560 |
| Address: | 4909 N. Lakewood Dr., PANAMA CITY, FL, 32404, US |
| Mail Address: | 4909 N. Lakewood Dr., PANAMA CITY, FL, 32404, US |
| ZIP code: | 32404 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891865762 | 2006-11-08 | 2020-08-22 | 619 COVE BLVD SUITE A, PANAMA CITY, FL, 32401, US | 619 N COVE BLVD STE A, PANAMA CITY, FL, 324013642, US | |||||||||||||||||||||||||
|
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| Phone | +1 850-596-1208 |
| Fax | 8507692366 |
Authorized person
| Name | MR. DAVID JEFFERY DUGGAR |
| Role | COUNSLOR OWNER |
| Phone | 8505961208 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH7162 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS OF FL |
| Number | Z012U |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DUGGAR DAVID J | Agent | 4909 N. Lakewood Dr., PANAMA CITY, FL, 32404 |
| Name | Role | Address |
|---|---|---|
| DUGGAR DAVID J | President | 4909 N. Lakewood Dr., PANAMA CITY, FL, 32404 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-02-05 | 4909 N. Lakewood Dr., PANAMA CITY, FL 32404 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-02-05 | 4909 N. Lakewood Dr., PANAMA CITY, FL 32404 | No data |
| CHANGE OF MAILING ADDRESS | 2015-02-05 | 4909 N. Lakewood Dr., PANAMA CITY, FL 32404 | No data |
| REGISTERED AGENT NAME CHANGED | 2005-04-29 | DUGGAR, DAVID J | No data |
| CANCEL ADM DISS/REV | 2005-04-29 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| NAME CHANGE AMENDMENT | 2004-02-12 | COUNSELING AND BEHAVIORAL SERVICES, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-02-14 |
| ANNUAL REPORT | 2019-01-02 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-05 |
| ANNUAL REPORT | 2016-03-31 |
| ANNUAL REPORT | 2015-02-05 |
| ANNUAL REPORT | 2014-03-19 |
| ANNUAL REPORT | 2013-03-22 |
| ANNUAL REPORT | 2012-03-20 |
| ANNUAL REPORT | 2011-02-17 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
