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VISIONARY VANGUARD GROUP, INC.

Company Details

Entity Name: VISIONARY VANGUARD GROUP, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 25 Feb 2008 (17 years ago)
Document Number: P08000019952
FEI/EIN Number 262035701
Address: 4767 New Broad Street, Ste. 238, ORLANDO, FL, 32814, US
Mail Address: 4767 New Broad St, Ste. 238, Orlando, FL, 32814, US
ZIP code: 32814
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780931469 2012-08-13 2012-08-13 976 LAKE BALDWIN LN, SUITE 203, ORLANDO, FL, 328146687, US 1200 OAKLEY SEAVER DR, SUITE 203, CLERMONT, FL, 347111958, US

Contacts

Phone +1 407-497-0327
Fax 8885871421
Phone +1 407-314-5373

Authorized person

Name DR. STEPHAN E. BROWN
Role PRESIDENT & CEO
Phone 4074970327

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
License Number MH6575
State FL
Is Primary Yes
Taxonomy Code 101YM0800X - Mental Health Counselor
License Number MH6078
State FL
Is Primary No
Taxonomy Code 101YM0800X - Mental Health Counselor
License Number NCC #54428
Is Primary No
Taxonomy Code 101YM0800X - Mental Health Counselor
License Number NCC #48936
Is Primary No
Taxonomy Code 103K00000X - Behavior Analyst
License Number 0000077
State FL
Is Primary No

Agent

Name Role Address
JOSEPHS Lauren L Agent 4767 New Broad St, Orlando, FL, 32814

Chief Executive Officer

Name Role Address
JOSEPHS LAUREN L Chief Executive Officer 4767 New Broad St, Orlando, FL, 32814

Director

Name Role Address
RICHARDSON ALICIA LDr. Director 4767 New Broad St., Orlando, FL, 32814
JOSEPHS RICARDO Director 4767 New Broad Street, ORLANDO, FL, 32814
BROWN STEPHAN E Director 4767 New Broad Street, ORLANDO, FL, 32814

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000038369 DR. LAUREN JOSEPHS ACTIVE 2020-04-05 2025-12-31 No data 4767 NEW BROAD ST, ORLANDO, FL, 32814
G12000021306 MY HAIR EDEN EXPIRED 2012-03-01 2017-12-31 No data 976 LAKE BALDWIN LANE, SUITE 203, ORLANDO, FL, 32814

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-03 4767 New Broad Street, Ste. 238, ORLANDO, FL 32814 No data
CHANGE OF MAILING ADDRESS 2023-01-03 4767 New Broad Street, Ste. 238, ORLANDO, FL 32814 No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-03 4767 New Broad St, Ste. 238, Orlando, FL 32814 No data
REGISTERED AGENT NAME CHANGED 2021-03-15 JOSEPHS, Lauren L No data

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-01-03
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-03-15
ANNUAL REPORT 2020-06-07
ANNUAL REPORT 2019-04-09
ANNUAL REPORT 2018-02-12
ANNUAL REPORT 2017-04-14
ANNUAL REPORT 2016-04-28
ANNUAL REPORT 2015-03-05

Date of last update: 01 Feb 2025

Sources: Florida Department of State