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NEW GRACE HOUSE COUNSELING CENTER, INC.

Company Details

Entity Name: NEW GRACE HOUSE COUNSELING CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 16 Mar 2010 (15 years ago)
Document Number: P10000023645
FEI/EIN Number 272130724
Address: 4375 U. S. Highway 17, Suite 103, Fleming Island, FL, 32003, US
Mail Address: 2306 STAFFORD DR., ORANGE PARK, FL, 32073
ZIP code: 32003
County: Clay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821312679 2010-03-23 2010-03-23 2306 STAFFORD DR, ORANGE PARK, FL, 320735317, US 1724 VILLAGE WAY STE A, ORANGE PARK, FL, 320735264, US

Contacts

Phone +1 904-881-5899
Phone +1 904-269-0886

Authorized person

Name MRS. FRANCES F NICHOLS
Role SECRETARY/TREASURER
Phone 9048815899

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role Address
NICHOLS LARRY M Agent 2306 STAFFORD DR., ORANGE PARK, FL, 32073

President

Name Role Address
NICHOLS LARRY M President 2306 STAFFORD DR., ORANGE PARK, FL, 32073

Vice President

Name Role Address
NICHOLS LARRY M Vice President 2306 STAFFORD DR., ORANGE PARK, FL, 32073

Director

Name Role Address
NICHOLS LARRY M Director 2306 STAFFORD DR., ORANGE PARK, FL, 32073

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G11000102782 GRACE HOUSE EXPIRED 2011-10-20 2016-12-31 No data 1724 VILLAGE WAY STE A, ORANGE PARK, FL, 32073, US

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-01-18 4375 U. S. Highway 17, Suite 103, Fleming Island, FL 32003 No data

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-02-28
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-02-17
ANNUAL REPORT 2019-03-19
ANNUAL REPORT 2018-03-07
ANNUAL REPORT 2017-01-18
ANNUAL REPORT 2016-01-21
ANNUAL REPORT 2015-01-15

Date of last update: 02 Feb 2025

Sources: Florida Department of State