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SPACE COAST COUNSELING CENTER, INC. - Florida Company Profile

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Company Details

Entity Name: SPACE COAST COUNSELING CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
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
Address: 166 Center Street, Cape Canaveral, FL, 32920, US
Mail Address: P.O. Box 1284, Cape Canaveral, FL, 32920-1284, US
ZIP code: 32920
City: Cape Canaveral
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

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

National Provider Identifier

NPI Number:
1316070345
Certification Date:
2022-06-17

Authorized Person:

Name:
MS. LANA LYNN BEASLEY
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
101YP2500X - Professional Counselor
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Fax:
8667030035

Events

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. -

Documents

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

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Date of last update: 01 Aug 2025

Sources: Florida Department of State