Entity Name: | HELPING MOON COUNSELING, P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 05 Oct 2015 (9 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 10 Oct 2016 (8 years ago) |
Document Number: | P15000081998 |
FEI/EIN Number | 47-5305956 |
Address: | 6919 SW 18th Street, SUITE 201, boca raton, FL 33433 |
Mail Address: | 6919 SW 18th Street, SUITE 201, boca raton, FL 33433 |
ZIP code: | 33433 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1083087688 | 2015-11-04 | 2022-03-22 | 6919 SW 18TH ST STE 201, BOCA RATON, FL, 334337010, US | 6919 SW 18TH ST STE 201, BOCA RATON, FL, 334337010, US | |||||||||||||||||||||
|
Phone | +1 561-571-1557 |
Fax | 5616343536 |
Authorized person
Name | LUNA L MEDINA-WOLF |
Role | OWNER |
Phone | 9543095353 |
Taxonomy
Taxonomy Code | 101YM0800X - Mental Health Counselor |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 1020131-00 |
State | FL |
Name | Role | Address |
---|---|---|
MEDINA-WOLF, LUNA L | Agent | 6919 SW 18th Street, suite 201, BOCA RATON, FL 33433 |
Name | Role | Address |
---|---|---|
MEDINA-WOLF, LUNA L | President | 6919 SW 18TH STREET, SUITE 201 BOCA RATON, FL 33433 |
Name | Role | Address |
---|---|---|
WOLF, ASAF | Vice President | 22553 SWORDFISH DR, BOCA RATON, FL 33428 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2024-02-18 | 6919 SW 18th Street, SUITE 201, boca raton, FL 33433 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2022-05-10 | 6919 SW 18th Street, SUITE 201, boca raton, FL 33433 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2022-04-08 | 6919 SW 18th Street, suite 201, BOCA RATON, FL 33433 | No data |
REINSTATEMENT | 2016-10-10 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2016-10-10 | MEDINA-WOLF, LUNA L | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-18 |
ANNUAL REPORT | 2023-02-08 |
ANNUAL REPORT | 2022-03-02 |
Reg. Agent Change | 2021-05-03 |
ANNUAL REPORT | 2021-02-08 |
ANNUAL REPORT | 2020-01-31 |
ANNUAL REPORT | 2019-02-06 |
ANNUAL REPORT | 2018-01-11 |
ANNUAL REPORT | 2017-01-09 |
REINSTATEMENT | 2016-10-10 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State