| Entity Name: | SPACE COAST COUNSELING CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
SPACE COAST COUNSELING CENTER, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 26 Aug 2005 (20 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 13 Jun 2018 (7 years ago) |
| Document Number: | P05000119120 |
| FEI/EIN Number |
134308090
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 166 Center Street, Cape Canaveral, FL, 32920, US |
| Mail Address: | P.O. Box 1284, Cape Canaveral, FL, 32920-1284, US |
| ZIP code: | 32920 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316070345 | 2007-03-13 | 2022-06-17 | PO BOX 1284, CAPE CANAVERAL, FL, 329201284, US | 166 CENTER ST STE 239, CAPE CANAVERAL, FL, 329203717, US | |||||||||||||||||||||||||||||||
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| Phone | +1 321-267-2288 |
| Fax | 8667030035 |
Authorized person
| Name | MS. LANA LYNN BEASLEY |
| Role | PRESIDENT |
| Phone | 3212672228 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 101YP2500X - Professional Counselor |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 00493900 |
| State | FL |
| Issuer | MEDICAID |
| Number | 113658100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BEASLEY LANA L | President | 166 Center Street, Cape Canaveral, FL, 32920 |
| Beasley Lana L | Director | P.O. Box 1284, Cape Canaveral, FL, 329201284 |
| Beasley Lana L | Agent | 166 Center Street, Cape Canaveral, FL, 32920 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-21 | 166 Center Street, Suite 239, Cape Canaveral, FL 32920 | - |
| REGISTERED AGENT NAME CHANGED | 2021-04-21 | Beasley, Lana Lynn | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-21 | 166 Center Street, Suite 239, Cape Canaveral, FL 32920 | - |
| CHANGE OF MAILING ADDRESS | 2021-02-05 | 166 Center Street, Suite 239, Cape Canaveral, FL 32920 | - |
| REINSTATEMENT | 2018-06-13 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| NAME CHANGE AMENDMENT | 2005-08-29 | SPACE COAST COUNSELING CENTER, INC. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-23 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-03-30 |
| AMENDED ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2021-02-05 |
| ANNUAL REPORT | 2020-03-11 |
| ANNUAL REPORT | 2019-04-03 |
| REINSTATEMENT | 2018-06-13 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-04-05 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
