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OWENS & LAKE WELLNESS & COUNSELING, INC.

Company Details

Entity Name: OWENS & LAKE WELLNESS & COUNSELING, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 18 Mar 2004 (21 years ago)
Date of dissolution: 24 Sep 2010 (14 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2010 (14 years ago)
Document Number: P04000050486
FEI/EIN Number 043788147
Address: 590 SOLUTIONS WAY SUITE 120, ROCKLEDGE, FL, 32955
Mail Address: 590 SOLUTIONS WAY SUITE 120, ROCKLEDGE, FL, 32955
ZIP code: 32955
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356467237 2007-03-22 2020-08-22 1209 ADMIRALTY BLVD, ROCKLEDGE, FL, 32955, US 1209 ADMIRALTY BLVD, ROCKLEDGE, FL, 32955, US

Contacts

Phone +1 321-632-5155
Fax 3216325613

Authorized person

Name MR. MICHAEL HENRY LAKE JR.
Role PRESIDENT
Phone 3216325155

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
License Number MH8204
State FL
Is Primary Yes
Taxonomy Code 101YM0800X - Mental Health Counselor
License Number MH7448
State FL
Is Primary No

Agent

Name Role Address
LAKE MICHAEL Agent 590 SOLUTIONS WAY SUITE 120, ROCKLEDGE, FL, 32955

Director

Name Role Address
LAKE MICHAEL Director 803 GARDENER RD., ROCKLEDGE, FL, 32955

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data
CHANGE OF PRINCIPAL ADDRESS 2009-05-26 590 SOLUTIONS WAY SUITE 120, ROCKLEDGE, FL 32955 No data
CHANGE OF MAILING ADDRESS 2009-05-26 590 SOLUTIONS WAY SUITE 120, ROCKLEDGE, FL 32955 No data
REGISTERED AGENT ADDRESS CHANGED 2009-05-26 590 SOLUTIONS WAY SUITE 120, ROCKLEDGE, FL 32955 No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J10000803582 LAPSED 2010-CA-15096 CIR CRT BREVARD CNTY 2010-06-25 2015-08-13 $30,633.17 JPMORGAN CHASE BANK, NA, 201 N CENTRAL AVENUE,, 7TH FLOOR, AZ1-1004, PHOENIX, AZ 85004

Documents

Name Date
ANNUAL REPORT 2009-05-26
ANNUAL REPORT 2008-05-15
ANNUAL REPORT 2007-05-07
ANNUAL REPORT 2006-04-25
ANNUAL REPORT 2005-04-14
Domestic Profit 2004-03-18

Date of last update: 02 Feb 2025

Sources: Florida Department of State