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NEW TAMPA COUNSELING AND MEDIATION, INC.

Company Details

Entity Name: NEW TAMPA COUNSELING AND MEDIATION, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 26 Jul 2004 (21 years ago)
Document Number: P04000109785
FEI/EIN Number 542157391
Address: 2240Twelve Oaks Way, Wesley Chapel, FL, 33544, US
Mail Address: PO BOX 46458, TAMPA, FL, 33646
ZIP code: 33544
County: Pasco
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568593135 2007-03-08 2012-03-01 PO BOX 46458, TAMPA, FL, 336460104, US 8907 REGENTS PARK DR, SUITE 310, TAMPA, FL, 336473401, US

Contacts

Phone +1 813-504-0360
Fax 8139774120

Authorized person

Name MS. BRENDA CRAWFORD-CLARK
Role CEO
Phone 8135040360

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
License Number LMHC 5109
State FL
Is Primary Yes

Agent

Name Role Address
CRAWFORD-CLARK BRENDA Agent 2240Twelve Oaks Way, Wesley Chapel, FL, 33544

Chief Executive Officer

Name Role Address
CRAWFORD-CLARK BRENDA Chief Executive Officer PO BOX 46458, TAMPA, FL, 33646

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-02-01 2240Twelve Oaks Way, Suite 101, Wesley Chapel, FL 33544 No data
REGISTERED AGENT ADDRESS CHANGED 2022-02-01 2240Twelve Oaks Way, Suite 101, Wesley Chapel, FL 33544 No data
CHANGE OF MAILING ADDRESS 2012-02-01 2240Twelve Oaks Way, Suite 101, Wesley Chapel, FL 33544 No data
REGISTERED AGENT NAME CHANGED 2005-02-06 CRAWFORD-CLARK, BRENDA No data

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-02-09
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-02-09
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-02-27
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-07-25
ANNUAL REPORT 2016-01-18
ANNUAL REPORT 2015-03-25

Date of last update: 02 Feb 2025

Sources: Florida Department of State