Entity Name: | BREAKTHROUGH COUNSELING EDUCATION CENTER, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 26 May 2011 (14 years ago) |
Document Number: | P11000050316 |
FEI/EIN Number | 452421152 |
Address: | 501 N. Orlando Ave., Winter Park, FL, 32789, US |
Mail Address: | 501 N. Orlando Ave., Ste. 313, #200, Winter Park, FL, 32789, US |
ZIP code: | 32789 |
County: | Orange |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1992057558 | 2012-10-07 | 2017-01-17 | 1950 LEE ROAD, SUITE 114, WINTER PARK, FL, 327897210, US | 1950 LEE ROAD, SUITE 114, WINTER PARK, FL, 327897210, US | |||||||||||||||||||||||||
|
Phone | +1 407-926-0319 |
Fax | 4079260294 |
Authorized person
Name | DR. SHEILA DAVIS |
Role | PRESIDENT/OWNER |
Phone | 4079260319 |
Taxonomy
Taxonomy Code | 101YM0800X - Mental Health Counselor |
License Number | MH7613 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 767736700 |
State | FL |
Name | Role | Address |
---|---|---|
DAVIS SHEILA A | Agent | 501 N. Orlando Ave., Ste. 313, #200, Winter Park, FL, 32789 |
Name | Role | Address |
---|---|---|
DAVIS SHEILA A | Chief Executive Officer | 2761 Hilltop Loop, Apopka, FL, 32712 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2022-01-05 | 501 N. Orlando Ave., Ste 313 #200, Winter Park, FL 32789 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2022-01-05 | 501 N. Orlando Ave., Ste. 313, #200, Winter Park, FL 32789 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2020-06-01 | 501 N. Orlando Ave., Ste 313 #200, Winter Park, FL 32789 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-27 |
ANNUAL REPORT | 2023-03-08 |
ANNUAL REPORT | 2022-01-05 |
ANNUAL REPORT | 2021-02-22 |
ANNUAL REPORT | 2020-06-01 |
ANNUAL REPORT | 2019-04-05 |
ANNUAL REPORT | 2018-04-16 |
ANNUAL REPORT | 2017-04-05 |
ANNUAL REPORT | 2016-03-17 |
ANNUAL REPORT | 2015-04-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State