Entity Name: | MODERN COUNSELING SOLUTIONS INC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 01 Apr 2020 (5 years ago) |
Document Number: | P20000027458 |
FEI/EIN Number | 85-1527478 |
Address: | 14391 SPRING HILL DRIVE, SUITE # 454, SPRING HILL, FL 34609 |
Mail Address: | 14391 DRIVE HILL DRIVE, SUITE # 454, SPRING HILL, FL 34609 |
ZIP code: | 34609 |
County: | Hernando |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1912519851 | 2020-08-21 | 2020-08-21 | 14047 FINSBURY DR, SPRING HILL, FL, 346090783, US | 14047 FINSBURY DR, SPRING HILL, FL, 346090783, US | |||||||||||||||||||
|
Phone | +1 352-585-9737 |
Authorized person
Name | GINA JANNAY GONZALEZ |
Role | OWNER |
Phone | 3525859737 |
Taxonomy
Taxonomy Code | 101YP2500X - Professional Counselor |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 012660200 |
State | FL |
Name | Role | Address |
---|---|---|
GINA, GONZALEZ | Agent | 14391 SPRING HILL DRIVE, SUITE # 454, SPRING HILL, FL 34609 |
Name | Role | Address |
---|---|---|
GONZALEZ, GINA | President | 14391 SPRING HILL DRIVE, SPRING HILL DRIVE, FL 34609 |
Name | Role | Address |
---|---|---|
GONZALEZ, GINA | Chief Executive Officer | 14391 SPRING HILL DRIVE, SPRING HILL DRIVE, FL 34609 |
Name | Role | Address |
---|---|---|
GONZALEZ, ESTEVAN P | Vice President | 14391 SPRING HILL DRIVE, SPRING HILL, FL 34609 |
Name | Role | Address |
---|---|---|
GONZALEZ, ESTEVAN P | Chief Financial Officer | 14391 SPRING HILL DRIVE, SPRING HILL, FL 34609 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-26 |
ANNUAL REPORT | 2023-01-22 |
ANNUAL REPORT | 2022-01-27 |
ANNUAL REPORT | 2021-01-27 |
Domestic Profit | 2020-04-01 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State