| Entity Name: | ADULT & CHILD COUNSELING AND PSYCHIATRIC CENTER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
ADULT & CHILD COUNSELING AND PSYCHIATRIC CENTER, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 12 Jan 1998 (27 years ago) |
| Document Number: | P98000004035 |
| FEI/EIN Number |
593488333
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5545 N. Wickham Road, Melbourne, FL, 32940, US |
| Mail Address: | 5545 N. Wickham Road, Melbourne, FL, 32940, US |
| ZIP code: | 32940 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629034996 | 2006-04-25 | 2014-04-17 | 5545 N WICKHAM RD, SUITE 110, MELBOURNE, FL, 329407323, US | 5545 N WICKHAM RD, SUITE 110, MELBOURNE, FL, 329407323, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 321-779-9838 |
| Fax | 3217794502 |
Authorized person
| Name | DR. VIJAYKUMAR R BHUJANG |
| Role | CEO |
| Phone | 3217799838 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 104100000X - Social Worker |
| License Number | SW3652 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 104100000X - Social Worker |
| License Number | SW3614 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME50534 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME40362 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 253817200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Eaton James VLMHC | Agent | 5545 N. Wickham Road, Melbourne, FL, 32940 |
| EATON JAMES V | Manager | 5545 N Wickham Road, Melbourne, FL, 32940 |
| PATRICIA GAUME D | Manager | 5545 N. Wickham Road, Melbourne, FL, 32940 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-03-05 | Eaton, James V, LMHC | - |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-09 | 5545 N. Wickham Road, Suite 110, Melbourne, FL 32940 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-09 | 5545 N. Wickham Road, 110, Melbourne, FL 32940 | - |
| CHANGE OF MAILING ADDRESS | 2013-02-14 | 5545 N. Wickham Road, Suite 110, Melbourne, FL 32940 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-01-20 |
| ANNUAL REPORT | 2017-02-01 |
| ANNUAL REPORT | 2016-02-29 |
| ANNUAL REPORT | 2015-02-03 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
