| Entity Name: | START FRESH COUNSELING CENTER. INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Apr 2014 (11 years ago) |
| Document Number: | P14000031698 |
| FEI/EIN Number | 47-1190222 |
| Address: | 135 North Moon Ave, Brandon, FL, 33510, US |
| Mail Address: | 135 North Moon Ave, Brandon, FL, 33510, US |
| ZIP code: | 33510 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376930362 | 2015-04-17 | 2022-02-25 | 135 N MOON AVE, BRANDON, FL, 335104419, US | 135 N MOON AVE, BRANDON, FL, 335104419, US | |||||||||||||||||||||||
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| Phone | +1 813-489-4547 |
Authorized person
| Name | MRS. CASANDRA ANNE MERRITT |
| Role | CEO |
| Phone | 8134894546 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | IMH 12768 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 015050400 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| START FRESH COUNSELING CENTER 401(K) PLAN | 2023 | 471190222 | 2024-05-13 | START FRESH COUNSELING CENTER, INC | 4 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-13 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MERRITT CASANDRA A | Agent | 16127 LONE OAK VIEW DR., LITHIA, FL, 33547 |
| Name | Role | Address |
|---|---|---|
| MERRITT CASANDRA A | President | 16127 LONE OAK VIEW DR., LITHIA, FL, 33547 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000036050 | START FRESH BEHAVIORAL CENTER | ACTIVE | 2024-03-11 | 2029-12-31 | No data | 135 NORTH MOON AVE, BRANDON, FL, 33511 |
| G16000095875 | START FRESH HOMEMAKING AND COMPANION SERVICES | EXPIRED | 2016-09-02 | 2021-12-31 | No data | STE 117, BRANDON, FL, 33511-0800 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-02 | 135 North Moon Ave, Brandon, FL 33510 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-02 | 135 North Moon Ave, Brandon, FL 33510 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-03-13 |
| ANNUAL REPORT | 2020-02-20 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-01-14 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-03-20 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
