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CHANCE 2 CHANGE, INC.

Company Details

Entity Name: CHANCE 2 CHANGE, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 10 May 2013 (12 years ago)
Last Event: AMENDMENT
Event Date Filed: 29 Apr 2021 (4 years ago)
Document Number: P13000041944
FEI/EIN Number 46-2755887
Address: 4721 E. Moody Blvd, 107, Bunnell, FL 32110
Mail Address: 4721 E. Moody Blvd, 107, Bunnell, FL 32110
ZIP code: 32110
County: Flagler
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578911541 2016-05-31 2023-06-22 4721 E MOODY BLVD, SUITE 107, BUNNELL, FL, 321107705, US 724 SOUTH BEACH STREET, SUITE 3, DAYTONA, FL, 32114, US

Contacts

Phone +1 386-437-0235

Authorized person

Name KIMBERLY A YOUNG
Role CEO
Phone 3863339622

Taxonomy

Taxonomy Code 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
State FL
Is Primary Yes

Agent

Name Role Address
Mogar, Robert M Agent 22 burning tree place, palm coast, FL 32137

President

Name Role Address
YOUNG, KIMBERLY President 4721 E. MOODY BLVD, 107 BUNNELL, FL 32110

Treasurer

Name Role Address
YOUNG, KIMBERLY Treasurer 4721 E. MOODY BLVD, 107 BUNNELL, FL 32110

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000055608 BREAK THE CYCLE ACTIVE 2013-06-07 2028-12-31 No data 9 FOUNTAINEBLEAU CIR, DAYTONA BEACH, FL, 32118

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-02-27 Mogar, Robert M No data
REGISTERED AGENT ADDRESS CHANGED 2023-02-27 22 burning tree place, palm coast, FL 32137 No data
AMENDMENT 2021-04-29 No data No data
AMENDMENT 2016-05-04 No data No data
CHANGE OF PRINCIPAL ADDRESS 2014-02-19 4721 E. Moody Blvd, 107, Bunnell, FL 32110 No data
CHANGE OF MAILING ADDRESS 2014-02-19 4721 E. Moody Blvd, 107, Bunnell, FL 32110 No data

Documents

Name Date
ANNUAL REPORT 2025-01-15
ANNUAL REPORT 2024-01-07
ANNUAL REPORT 2023-02-27
ANNUAL REPORT 2022-04-19
Off/Dir Resignation 2021-04-29
Amendment 2021-04-29
ANNUAL REPORT 2021-02-08
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-03-24

Date of last update: 22 Jan 2025

Sources: Florida Department of State