| Entity Name: | COUNSELING AND BEHAVIORAL SOLUTIONS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Jun 2011 (14 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 30 Jun 2022 (3 years ago) |
| Document Number: | P11000051829 |
| FEI/EIN Number | 452446753 |
| Address: | 128 Orange Ave, LEESBURG, FL, 34748, US |
| Mail Address: | P.O. Box 491459, LEESBURG, FL, 34749, US |
| ZIP code: | 34748 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831485259 | 2011-06-23 | 2019-07-02 | P.O. BOX 491459, LEESBURG, FL, 34749, US | 102 W. DIXIE AVE, LEESBURG, FL, 34748, US | |||||||||||||||||||||||||||
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| Phone | +1 352-323-8872 |
| Fax | 3528017376 |
Authorized person
| Name | MRS. KIRSTEN SKOVMAND-WILSON |
| Role | OWNER/COUNSELOR |
| Phone | 3523238872 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH 6627 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 103K00000X - Behavior Analyst |
| License Number | 1-01-0570 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| HUNT ASHLEY S | Agent | 601 S. 9TH STREET, LEESBURG, FL, 34748 |
| Name | Role | Address |
|---|---|---|
| SKOVMAND-WILSON KIRSTEN | Director | 128 Orange Ave, LEESBURG, FL, 34748 |
| SHIPLEY JANET | Director | 128 ORANGE AVE, LEESBURG, FL, 34748 |
| Name | Role | Address |
|---|---|---|
| SHIPLEY JANET | President | 128 ORANGE AVE, LEESBURG, FL, 34748 |
| Name | Role | Address |
|---|---|---|
| SHIPLEY JANET | Secretary | 128 ORANGE AVE, LEESBURG, FL, 34748 |
| Name | Role | Address |
|---|---|---|
| SHIPLEY JANET | Treasurer | 128 ORANGE AVE, LEESBURG, FL, 34748 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2022-06-30 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-06-30 | HUNT, ASHLEY S | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-06-30 | 601 S. 9TH STREET, LEESBURG, FL 34748 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-25 | 128 Orange Ave, LEESBURG, FL 34748 | No data |
| CHANGE OF MAILING ADDRESS | 2018-02-24 | 128 Orange Ave, LEESBURG, FL 34748 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000758969 (No Image Available) | ACTIVE | 1000001020749 | LAKE | 2024-11-22 | 2034-11-27 | $ 1,186.79 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, LEESBURG SERVICE CENTER, 900 N 14TH ST STE 201, LEESBURG FL347483829 |
| J24000758969 | ACTIVE | 1000001020749 | LAKE | 2024-11-22 | 2034-11-27 | $ 1,186.79 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, LEESBURG SERVICE CENTER, 900 N 14TH ST STE 201, LEESBURG FL347483829 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-05-01 |
| Amendment | 2022-06-30 |
| ANNUAL REPORT | 2022-03-25 |
| ANNUAL REPORT | 2021-02-14 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-03-11 |
| ANNUAL REPORT | 2018-02-24 |
| ANNUAL REPORT | 2017-02-23 |
| ANNUAL REPORT | 2016-04-11 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
