| Entity Name: | FRESH START COUNSELING, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 13 Oct 2021 (3 years ago) |
| Document Number: | P21000089309 |
| FEI/EIN Number | 87-3317307 |
| Address: | 12443 SAN JOSE BLVD, SUITE 202, JACKSONVILLE, FL, 32223, US |
| Mail Address: | 12443 SAN JOSE BLVD, SUITE 202, JACKSONVILLE, FL, 32223, US |
| ZIP code: | 32223 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174274658 | 2022-01-16 | 2022-01-16 | 12443 SAN JOSE BLVD STE 202, JACKSONVILLE, FL, 322238648, US | 12443 SAN JOSE BLVD STE 202, JACKSONVILLE, FL, 322238648, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 904-428-8331 |
| Fax | 9043200754 |
Authorized person
| Name | CHRISTIE MATLOSZ |
| Role | OWNER |
| Phone | 9044288331 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MATLOSZ CHRISTIE | Agent | 12443 SAN JOSE BLVD, JACKSONVILLE, FL, 32223 |
| Name | Role | Address |
|---|---|---|
| MATLOSZ CHRISTIE | President | 12443 SAN JOSE BLVD SUITE 202, JACKSONVILLE, FL, 32223 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000147573 | FRESH START COUNSELING | ACTIVE | 2021-11-03 | 2026-12-31 | No data | 12443 SAN JOSE BLVD SUITE 202, JACKSONVILLE, FL, 32223 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-14 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-02-10 |
| Domestic Profit | 2021-10-13 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
