| Entity Name: | SOUTH FLORIDA COUNSELING AGENCY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Aug 2006 (19 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 09 Jan 2013 (12 years ago) |
| Document Number: | P06000104542 |
| FEI/EIN Number | 205366416 |
| Address: | 15012 CANOPY COVER DRIVE, KARINA CHERNACOV, WINTER GARDEN, FL, 34787, US |
| Mail Address: | 15012 CANOPY COVER DRIVE, KARINA CHERNACOV, WINTER GARDEN, FL, 34787, US |
| ZIP code: | 34787 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982848370 | 2009-04-29 | 2009-04-29 | 10220 W STATE ROAD 84 STE 2, DAVIE, FL, 333244223, US | 10220 W STATE ROAD 84 STE 2, DAVIE, FL, 333244223, US | |||||||||||||||||||||||
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| Phone | +1 954-370-8081 |
Authorized person
| Name | MRS. KARINA C. LAPA |
| Role | DIRECTOR |
| Phone | 9543708081 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH9119 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000309100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CHERNACOV KARINA C | Agent | 15012 CANOPY COVER DRIVE, WINTER GARDEN, FL, 34787 |
| Name | Role | Address |
|---|---|---|
| CHERNACOV KARINA C | President | 15012 CANOPY COVER DRIVE, WINTER GARDEN, FL, 34787 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-16 | 15012 CANOPY COVER DRIVE, KARINA CHERNACOV, WINTER GARDEN, FL 34787 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-16 | 15012 CANOPY COVER DRIVE, KARINA CHERNACOV, WINTER GARDEN, FL 34787 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-16 | 15012 CANOPY COVER DRIVE, KARINA CHERNACOV, WINTER GARDEN, FL 34787 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-03-01 | CHERNACOV, KARINA C | No data |
| AMENDMENT | 2013-01-09 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2007-06-28 | SOUTH FLORIDA COUNSELING AGENCY INC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-21 |
| ANNUAL REPORT | 2024-01-16 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-02-21 |
| ANNUAL REPORT | 2021-02-10 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-03-01 |
| Off/Dir Resignation | 2017-10-23 |
| ANNUAL REPORT | 2017-01-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
