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THE HEALING PATH FAMILY COUNSELING CENTER, INC.

Company Details

Entity Name: THE HEALING PATH FAMILY COUNSELING CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 30 Mar 2012 (13 years ago)
Date of dissolution: 23 Apr 2020 (5 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 23 Apr 2020 (5 years ago)
Document Number: P12000031701
FEI/EIN Number 45-4983599
Address: 810 HOLLYWOOD BLVD, W MELBOURNE, FL, 32904
Mail Address: PO Box 120729, W MELBOURNE, FL, 32912, US
ZIP code: 32904
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952660698 2012-05-15 2012-05-15 3565 HAMMOCK TRL, MELBOURNE, FL, 329348321, US 810 HOLLYWOOD BLVD, WEST MELBOURNE, FL, 329047418, US

Contacts

Phone +1 321-506-4625
Fax 3217238233

Authorized person

Name DEBORAH LYNN NICKENS
Role OWNER
Phone 3215064625

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
License Number IMH8021
State FL
Is Primary Yes

Agent

Name Role Address
NICKENS DEBORAH Agent 519 Consolata Ave NW, Palm Bay, FL, 32907

President

Name Role Address
NICKENS DEBORAH President 519 Consolata Ave NW, Palm Bay, FL, 32907

Director

Name Role Address
Nickens Don O Director 519 Consolata Ave NW, Palm Bay, FL, 32907

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2020-04-23 No data No data
REGISTERED AGENT ADDRESS CHANGED 2019-04-24 519 Consolata Ave NW, Palm Bay, FL 32907 No data
CHANGE OF MAILING ADDRESS 2013-05-22 810 HOLLYWOOD BLVD, W MELBOURNE, FL 32904 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2020-04-23
ANNUAL REPORT 2019-04-24
ANNUAL REPORT 2018-05-09
ANNUAL REPORT 2017-04-27
ANNUAL REPORT 2016-04-20
ANNUAL REPORT 2015-03-30
ANNUAL REPORT 2014-04-28
ANNUAL REPORT 2013-05-22
Domestic Profit 2012-03-30

Date of last update: 01 Feb 2025

Sources: Florida Department of State