| Entity Name: | ISA TANENBAUM, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Mar 2002 (23 years ago) |
| Document Number: | P02000023629 |
| FEI/EIN Number | 030459133 |
| Address: | MANDARIN COVE OFFICE PARK, 2950 HALCYON LANE #701, JACKSONVILLE, FL, 32223, US |
| Mail Address: | 2652 SIMS COVE LANE, JACKSONVILLE, FL, 32223-7118 |
| ZIP code: | 32223 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174924682 | 2014-09-16 | 2014-09-16 | 2652 SIMS COVE LN, JACKSONVILLE, FL, 322237118, US | 2950 HALCYON LN, SUITE 701, JACKSONVILLE, FL, 322236689, US | |||||||||||||||||||||||
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| Phone | +1 904-292-2407 |
Authorized person
| Name | MS. ISABEL TANENBAUM |
| Role | OWNER |
| Phone | 9042922407 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH5265 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FLORIDA BLUE ID |
| Number | Z9487 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TANENBAUM ISABEL | Agent | 2652 SIMS COVE LANE, JACKSONVILLE, FL, 32223 |
| Name | Role | Address |
|---|---|---|
| TANENBAUM ISABEL | Chief Executive Officer | 2950 HALCYON LANE #701, JACKSONVILLE, FL, 32223 |
| Name | Role | Address |
|---|---|---|
| MIKA JAMES J | Chief Information Officer | 2652 SIMS COVE LANE, JACKSONVILLE, FL, 32223 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000039700 | BEGINNINGS COUNSELING & RECOVERY | ACTIVE | 2011-04-23 | 2026-12-31 | No data | 2950 HALCYON LANE #701, JACKSONVILLE, FL, 32223 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2013-03-30 | MANDARIN COVE OFFICE PARK, 2950 HALCYON LANE #701, JACKSONVILLE, FL 32223 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-02-26 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-06-12 |
| ANNUAL REPORT | 2018-03-07 |
| ANNUAL REPORT | 2017-03-21 |
| ANNUAL REPORT | 2016-03-25 |
| ANNUAL REPORT | 2015-03-26 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
