| Entity Name: | COBIELLA CENTER FOR CHANGE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 01 Apr 2004 (21 years ago) |
| Date of dissolution: | 16 May 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 16 May 2017 (8 years ago) |
| Document Number: | P04000056920 |
| FEI/EIN Number | 201042832 |
| Address: | 124 E Franklin St, Hartwell, GA, 30643, US |
| Mail Address: | PO Box 208, Hartwell, GA, 30643, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013199082 | 2007-12-03 | 2011-01-05 | 953 NE JENSEN BEACH BLVD, JENSEN BEACH, FL, 349574705, US | 953 NE JENSEN BEACH BLVD, JENSEN BEACH, FL, 349574705, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 772-225-1224 |
Authorized person
| Name | MRS. DEBBIE MULACH |
| Role | OFFICE MANAGER |
| Phone | 7722251224 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | 650238748 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | IND. NPI # |
| Number | 1568551828 |
| State | FL |
| Issuer | IND. NPI # |
| Number | 1285723668 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CRARY LAWRENCE E | Agent | 555 COLORADO AVE STE 1, STUART, FL, 34957 |
| Name | Role | Address |
|---|---|---|
| COBIELLA ROBERT SDr. | President | 124 E Franklin St., Hartwell, GA, 30643 |
| Name | Role | Address |
|---|---|---|
| Cobiella Brenda DEsq. | Vice President | 124 E Franklin St., Hartwell, GA, 30643 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-05-16 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-25 | 124 E Franklin St, Hartwell, GA 30643 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-22 | 124 E Franklin St, Hartwell, GA 30643 | No data |
| CANCEL ADM DISS/REV | 2008-04-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-03-25 |
| ANNUAL REPORT | 2015-04-22 |
| ANNUAL REPORT | 2014-04-21 |
| ANNUAL REPORT | 2013-03-25 |
| ANNUAL REPORT | 2012-03-27 |
| ANNUAL REPORT | 2011-03-09 |
| ANNUAL REPORT | 2010-03-25 |
| ANNUAL REPORT | 2009-03-23 |
| REINSTATEMENT | 2008-04-24 |
| ANNUAL REPORT | 2006-04-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
