| Entity Name: | VISTA EMPLOYEE ASSISTANCE & COUNSELING, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 07 May 1998 (27 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 01 Mar 2012 (13 years ago) |
| Document Number: | P98000041453 |
| FEI/EIN Number | 593508652 |
| Address: | 101 TIMBERLACHEN CIRCLE, SUITE 201, LAKE MARY, FL, 32746, US |
| Mail Address: | 101 TIMBERLACHEN CIRCLE, SUITE 201, LAKE MARY, FL, 32746, US |
| ZIP code: | 32746 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366501512 | 2006-12-06 | 2020-08-22 | 101 TIMBERLACHEN CIR, SUITE 201, LAKE MARY, FL, 327466124, US | 101 TIMBERLACHEN CIR, SUITE 201, LAKE MARY, FL, 327466124, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 407-324-9440 |
| Fax | 4073305244 |
Authorized person
| Name | MS. CYNTHIA N HERZOG |
| Role | OWNER |
| Phone | 4073249440 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | LCSW002024 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI INDIVIDUAL |
| Number | 1336128834 |
| State | FL |
| Issuer | BCBS |
| Number | Z4208 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HERZOG CYNTHIA N | Agent | 101 TIMBERLACHEN CIRCLE, LAKE MARY, FL, 32746 |
| Name | Role | Address |
|---|---|---|
| HERZOG CYNTHIA N | President | 101 TIMBERLACHEN CIR SUITE 201, LAKE MARY, FL, 32746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2014-01-14 | 101 TIMBERLACHEN CIRCLE, SUITE 201, LAKE MARY, FL 32746 | No data |
| REINSTATEMENT | 2012-03-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-02-18 | 101 TIMBERLACHEN CIRCLE, SUITE 201, LAKE MARY, FL 32746 | No data |
| CHANGE OF MAILING ADDRESS | 2010-02-18 | 101 TIMBERLACHEN CIRCLE, SUITE 201, LAKE MARY, FL 32746 | No data |
| REGISTERED AGENT NAME CHANGED | 2007-01-20 | HERZOG, CYNTHIA N | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-07-18 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-03-23 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-01-30 |
| ANNUAL REPORT | 2015-01-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
