| Entity Name: | NORTHLAKE CENTER FOR COUNSELING, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Jul 1998 (27 years ago) |
| Document Number: | P98000060622 |
| FEI/EIN Number | 650849717 |
| Address: | 5621 OLD MYSTIC CT, JUPITER, FL, 33458 |
| Mail Address: | 5621 OLD MYSTIC CT., JUPITER, FL, 33458 |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881130094 | 2017-01-11 | 2017-01-11 | 1851 WEST INDIANTOWN ROAD, #202, JUPITER, FL, 33458, US | 1851 WEST INDIANTOWN ROAD, SUITE 202, JUPITER, FL, 33458, US | |||||||||||||||||||||
|
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| Phone | +1 561-743-7959 |
| Fax | 5617437959 |
| Phone | +1 561-743-7958 |
Authorized person
| Name | LINDA SUSAN DAVIS |
| Role | PRESIDENT |
| Phone | 5617437958 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH4748 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DAVIS L S | Agent | 5621 OLD MYSTIC CT, JUPITER, FL, 33458 |
| Name | Role | Address |
|---|---|---|
| DAVIS SUSAN | Director | 5621 OLD MYSTIC CT, JUPITER, FL, 33458 |
| Name | Role | Address |
|---|---|---|
| DAVIS SUSAN | President | 5621 OLD MYSTIC CT, JUPITER, FL, 33458 |
| Name | Role | Address |
|---|---|---|
| DAVIS SUSAN | Secretary | 5621 OLD MYSTIC CT, JUPITER, FL, 33458 |
| Name | Role | Address |
|---|---|---|
| DAVIS SUSAN | Treasurer | 5621 OLD MYSTIC CT, JUPITER, FL, 33458 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2004-03-07 | 5621 OLD MYSTIC CT, JUPITER, FL 33458 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-03-07 | 5621 OLD MYSTIC CT, JUPITER, FL 33458 | No data |
| CHANGE OF MAILING ADDRESS | 1999-04-13 | 5621 OLD MYSTIC CT, JUPITER, FL 33458 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-16 |
| ANNUAL REPORT | 2023-03-04 |
| ANNUAL REPORT | 2022-02-19 |
| ANNUAL REPORT | 2021-03-20 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-03-20 |
| ANNUAL REPORT | 2018-03-14 |
| ANNUAL REPORT | 2017-04-19 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-03-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
