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HISPANIC FAMILY COUNSELING, INC

Company Details

Entity Name: HISPANIC FAMILY COUNSELING, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 13 Jul 2012 (13 years ago)
Last Event: AMENDMENT
Event Date Filed: 06 Dec 2023 (a year ago)
Document Number: P12000061800
FEI/EIN Number 46-0572123
Address: 1707 ORLANDO CENTRAL PKWY, ORLANDO, FL, 32809, US
Mail Address: 8636 FORT JEFFERSON BLVD, ORLANDO, FL, 32822, US
ZIP code: 32809
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1629550306 2018-08-30 2018-08-30 8636 FORT JEFFERSON BLVD, ORLANDO, FL, 328227474, US 6900 S ORANGE BLOSSOM TRL STE 402, ORLANDO, FL, 328095734, US

Contacts

Phone +1 407-382-9079
Fax 4079641274

Authorized person

Name DENISSE C LAMAS
Role EXECUTIVE DIRECTOR
Phone 4073829079

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
License Number SW8485
State FL
Is Primary No
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 014814304
State FL
Issuer MEDICAID
Number 014814302
State FL
Issuer MEDICAID
Number 014814303
State FL
Issuer MEDICAID
Number 014714300
State FL
Issuer MEDICAID
Number 015488600
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HISPANIC FAMILY COUNSELING INC 401(K) PROFIT SHARING PLAN & TRUST 2023 460572123 2024-05-31 HISPANIC FAMILY COUNSELING INC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621420
Sponsor’s telephone number 4073829079
Plan sponsor’s address 6900 S ORANGE BLOSSOM TRAIL SUITE 4, ORLANDO, FL, 32809

Signature of

Role Plan administrator
Date 2024-05-31
Name of individual signing ROBERTO LLAVINA
Valid signature Filed with authorized/valid electronic signature
HISPANIC FAMILY COUNSELING INC 401(K) PROFIT SHARING PLAN & TRUST 2022 460572123 2023-06-29 HISPANIC FAMILY COUNSELING INC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621420
Sponsor’s telephone number 4073829079
Plan sponsor’s address 1707 ORLANDO CENTRAL PARKWAY, SUITE 480, ORLANDO, FL, 32809

Signature of

Role Plan administrator
Date 2023-06-29
Name of individual signing ROBERTO LLAVINA
Valid signature Filed with authorized/valid electronic signature
HISPANIC FAMILY COUNSELING INC 401(K) PROFIT SHARING PLAN & TRUST 2021 460572123 2022-05-20 HISPANIC FAMILY COUNSELING INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 812990
Sponsor’s telephone number 4073829079
Plan sponsor’s address 6900 S ORANGE BLOSSOM TRAIL SUITE 4, ORLANDO, FL, 32809

Signature of

Role Plan administrator
Date 2022-05-20
Name of individual signing ROBERTO LLAVINA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LAMAS DENISSE C Agent 8636 FORT JEFFERSON BLVD, ORLANDO, FL, 32822

Chief Executive Officer

Name Role Address
LAMAS DENISSE C Chief Executive Officer 8636 Fort Jefferson Blvd, ORLANDO, FL, 32822

Events

Event Type Filed Date Value Description
AMENDMENT 2023-12-06 No data No data
CHANGE OF PRINCIPAL ADDRESS 2022-02-24 1707 ORLANDO CENTRAL PKWY, SUITE 480, ORLANDO, FL 32809 No data
AMENDMENT 2016-12-16 No data No data
CHANGE OF MAILING ADDRESS 2013-03-09 1707 ORLANDO CENTRAL PKWY, SUITE 480, ORLANDO, FL 32809 No data
REGISTERED AGENT ADDRESS CHANGED 2013-03-09 8636 FORT JEFFERSON BLVD, ORLANDO, FL 32822 No data

Documents

Name Date
ANNUAL REPORT 2024-03-08
Amendment 2023-12-06
AMENDED ANNUAL REPORT 2023-12-04
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-02-24
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-01-14
ANNUAL REPORT 2019-02-06
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-01-17

Date of last update: 01 Feb 2025

Sources: Florida Department of State