| Entity Name: | SELF CARE COUNSELING OF SOUTH FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 31 Oct 2023 (a year ago) |
| Document Number: | P23000077153 |
| FEI/EIN Number | 93-4251980 |
| Address: | 13762 W STATE RD 84, SUITE 159, DAVIE, FL 33325 |
| Mail Address: | 13762 W STATE RD 84, SUITE 159, DAVIE, FL 33325 |
| ZIP code: | 33325 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134984321 | 2024-02-16 | 2024-02-16 | 13762 W STATE ROAD 84 UNIT 159, DAVIE, FL, 333255305, US | 8461 LAKE WORTH RD #205, LAKE WORTH, FL, 33467, US | |||||||||||||||||||||||||||||
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| Phone | +1 954-667-9844 |
Authorized person
| Name | JAMIE KATHLEEN SOCKOL |
| Role | PRESIDENT |
| Phone | 9545312338 |
Taxonomy
| Taxonomy Code | 251K00000X - Public Health or Welfare Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| SOCKOL, JAMIE K | Agent | 13762 W STATE ROAD 84, 159, DAVIE, FL 33325 |
| Name | Role | Address |
|---|---|---|
| SOCKOL, JAMIE K | President | 13762 W STATE RD 84, DAVIE, FL 33325 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| Domestic Profit | 2023-10-31 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
