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 |
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 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
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 |
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 | |||||||||||||||||||||||
|
Role | Plan administrator |
Date | 2024-05-31 |
Name of individual signing | ROBERTO LLAVINA |
Valid signature | Filed with authorized/valid electronic signature |
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 |
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 |
Name | Role | Address |
---|---|---|
LAMAS DENISSE C | Agent | 8636 FORT JEFFERSON BLVD, ORLANDO, FL, 32822 |
Name | Role | Address |
---|---|---|
LAMAS DENISSE C | Chief Executive Officer | 8636 Fort Jefferson Blvd, ORLANDO, FL, 32822 |
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 |
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