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INTERCOASTAL COUNSELING SERVICES, INC.

Company Details

Entity Name: INTERCOASTAL COUNSELING SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 07 Sep 2006 (18 years ago)
Date of dissolution: 24 Sep 2010 (14 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2010 (14 years ago)
Document Number: P06000115824
FEI/EIN Number 020786139
Address: 115 W. WOOLBRIGHT ROAD, #2, BOYNTON BEACH, FL, 33435
Mail Address: 3125 S. SEACREST BLVD., BOYNTON BEACH, FL, 33435
ZIP code: 33435
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1871791939 2007-07-10 2007-07-10 660 LINTON BLVD, 200 EX-1A, DELRAY BEACH, FL, 334448167, US 660 LINTON BLVD, 200 EX-1A, DELRAY BEACH, FL, 334448167, US

Contacts

Phone +1 561-302-8353
Fax 5618806982

Authorized person

Name MS. LESLIE ANNE GODWIN-ZUCKER
Role OWNER/PRESIDENT
Phone 5613028353

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
License Number SW3046
State FL
Is Primary Yes

Agent

Name Role Address
ZUCKER LESLIE A Agent 3125 S. SEACREST BLVD, BOYNTON BEACH, FL, 33435

President

Name Role Address
ZUCKER LESLIE A President 3125 S. SEACREST BLVD, BOYNTON BEACH, FL, 33435

Director

Name Role Address
ZUCKER LESLIE A Director 3125 S. SEACREST BLVD, BOYNTON BEACH, FL, 33435

Vice President

Name Role Address
ZUCKER LESLIE A Vice President 3125 S. SEACREST BLVD, BOYNTON BEACH, FL, 33435

Secretary

Name Role Address
ZUCKER LESLIE A Secretary 3125 S. SEACREST BLVD, BOYNTON BEACH, FL, 33435

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data
CHANGE OF PRINCIPAL ADDRESS 2009-01-20 115 W. WOOLBRIGHT ROAD, #2, BOYNTON BEACH, FL 33435 No data
CHANGE OF MAILING ADDRESS 2009-01-20 115 W. WOOLBRIGHT ROAD, #2, BOYNTON BEACH, FL 33435 No data
REGISTERED AGENT ADDRESS CHANGED 2009-01-20 3125 S. SEACREST BLVD, BOYNTON BEACH, FL 33435 No data
REGISTERED AGENT NAME CHANGED 2007-01-08 ZUCKER, LESLIE AMS. No data

Documents

Name Date
ANNUAL REPORT 2009-01-20
ANNUAL REPORT 2008-02-27
ANNUAL REPORT 2007-01-08
Domestic Profit 2006-09-07

Date of last update: 02 Feb 2025

Sources: Florida Department of State