| Entity Name: | BREAKTHROUGHS: COUNSELING AND RECOVERY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 12 Feb 1993 (32 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 28 Jun 1999 (26 years ago) |
| Document Number: | P93000010992 |
| FEI/EIN Number | 59-3168344 |
| Address: | 3810-3 WILLIAMSBURG PARK BLVD, JACKSONVILLE, FL 32257 |
| Mail Address: | 3810-3 WILLIAMSBURG PARK BLVD, JACKSONVILLE, FL 32257 |
| ZIP code: | 32257 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033133616 | 2006-07-27 | 2014-07-01 | 3810-3 WILLIAMSBURG PK BLVD., JACKSONVILLE, FL, 32257, US | 3810-3 WILLIAMSBURG PK. BLVD., JACKSONVILLE, FL, 32257, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-419-6102 |
| Fax | 9047392153 |
Authorized person
| Name | CIN DY BETH FALOR |
| Role | CLINICAL DIRECTOR |
| Phone | 9044196102 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW1793 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | 0416AD834400 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | AETNA |
| Number | 5199208 |
| State | FL |
| Issuer | BC/BS |
| Number | X1561 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FALOR, CINDY B | Agent | 3810-3 WILLIAMSBURG PARK BLVD, JACKSONVILLE, FL 32257 |
| Name | Role | Address |
|---|---|---|
| FISER, TONY | Vice President | 3810-3 WILLIAMSBURG PARK BLVD, JACKSONVILLE, FL 32257 |
| Name | Role | Address |
|---|---|---|
| FALOR, CINDY B | President | 3810-3 WILLIAMSBURG PARK BLVD, JACKSONVILLE, FL 32257 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2010-02-02 | FALOR, CINDY B | No data |
| CHANGE OF MAILING ADDRESS | 2001-01-16 | 3810-3 WILLIAMSBURG PARK BLVD, JACKSONVILLE, FL 32257 | No data |
| NAME CHANGE AMENDMENT | 1999-06-28 | BREAKTHROUGHS: COUNSELING AND RECOVERY, INC. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1998-03-02 | 3810-3 WILLIAMSBURG PARK BLVD, JACKSONVILLE, FL 32257 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1998-03-02 | 3810-3 WILLIAMSBURG PARK BLVD, JACKSONVILLE, FL 32257 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-22 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-03-18 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-13 |
| ANNUAL REPORT | 2016-01-26 |
| ANNUAL REPORT | 2015-01-20 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
