| Entity Name: | COMPREHENSIVE COUNSELING CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Feb 1996 (29 years ago) |
| Document Number: | P96000016052 |
| FEI/EIN Number | 593361017 |
| Address: | 6220 S ORANGE BLOSSOM TRAIL STE 142, ORLANDO, FL, 32809 |
| Mail Address: | 6220 S ORANGE BLOSSOM TRAIL STE 142, ORLANDO, FL, 32809 |
| ZIP code: | 32809 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1811085079 | 2006-10-11 | 2020-08-22 | 6220 S ORANGE BLOSSOM TRAIL, SUITE 142, ORLANDO, FL, 328094677, US | 6220 S ORANGE BLOSSOM TRAIL, SUITE 142, ORLANDO, FL, 328094677, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-888-8113 |
| Fax | 4078514357 |
Authorized person
| Name | MR. CARLOS A RUEDA |
| Role | OWNER |
| Phone | 4078888113 |
Taxonomy
| Taxonomy Code | 101Y00000X - Counselor |
| Is Primary | No |
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | No |
| Taxonomy Code | 103TA0400X - Addiction (Substance Use Disorder) Psychologist |
| Is Primary | No |
| Taxonomy Code | 104100000X - Social Worker |
| Is Primary | No |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | GHT |
| Number | 7328472 |
| State | NY |
| Issuer | CIGNA |
| Number | 2165960 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | Z108E |
| State | FL |
| Issuer | AETNA |
| Number | 60054 |
| Issuer | VALUE OPTIONS |
| Number | 077165 |
| Issuer | UNITED HEALTH CARE |
| Number | 87726 |
| Issuer | AUMED |
| Number | 276746 |
| Name | Role | Address |
|---|---|---|
| RUEDA CARLOS | Agent | 6220 S ORANGE BLOSSOM TRAIL STE 142, ORLANDO, FL, 32809 |
| Name | Role | Address |
|---|---|---|
| RUEDA CARLOS A | President | 6220 S ORANGE BLOSSOM TRAIL STE 142, ORLANDO, FL, 32809 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| NAME CHANGE AMENDMENT | 1997-02-03 | COMPREHENSIVE COUNSELING CARE, INC. | No data |
| AMENDMENT AND NAME CHANGE | 1996-02-28 | LAKEVIEW PROFESSIONAL GROUP, INC. | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
