| Entity Name: | REAL LIFE COUNSELING, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 09 Jan 2003 (22 years ago) |
| Document Number: | P03000004629 |
| FEI/EIN Number | 30-0141163 |
| Address: | 3295 CRAWFORDVILLE HWY, SUITE 4, CRAWFORDVILLE, FL 32327 |
| Mail Address: | 47 SADDLETREE TRAIL, CRAWFORDVILLE, FL 32327 |
| ZIP code: | 32327 |
| County: | Wakulla |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265730717 | 2011-03-08 | 2011-03-08 | 221 E 23RD ST, SUITE F, PANAMA CITY, FL, 324057612, US | 221 E 23RD ST, SUITE F, PANAMA CITY, FL, 324057612, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 850-271-8258 |
Authorized person
| Name | MR. GREGORY E GAST |
| Role | PRESIDENT |
| Phone | 8502718258 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | MH7039 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | ZO26D |
| State | FL |
| Issuer | FL LICENSE |
| Number | MH7039 |
| State | FL |
| Issuer | NPI |
| Number | 1164745352 |
| Name | Role | Address |
|---|---|---|
| GAST, GREGORY E | Agent | 47 Saddletree Trail, CRAWFORDVILLE, FL 32327 |
| Name | Role | Address |
|---|---|---|
| GAST, GREGORY E | Director | 47 Saddletree Trail, Crawfordville, FL 32327 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-05-05 | 3295 CRAWFORDVILLE HWY, SUITE 4, CRAWFORDVILLE, FL 32327 | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-19 | 3295 CRAWFORDVILLE HWY, SUITE 4, CRAWFORDVILLE, FL 32327 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-14 | 47 Saddletree Trail, CRAWFORDVILLE, FL 32327 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-02-09 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-01-24 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-02-08 |
| ANNUAL REPORT | 2017-08-15 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-04-13 |
Date of last update: 30 Jan 2025
Sources: Florida Department of State
