| Entity Name: | THE COUNSELING CENTER OF KEY WEST, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 13 Sep 1999 (25 years ago) |
| Date of dissolution: | 20 Apr 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 20 Apr 2022 (3 years ago) |
| Document Number: | P99000083474 |
| FEI/EIN Number | 650958052 |
| Address: | 3428 N Roosevelt Blvd., KEY WEST, FL, 33040, US |
| Mail Address: | 3428 N Roosevelt Blvd., KEY WEST, FL, 33040, US |
| ZIP code: | 33040 |
| County: | Monroe |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518036102 | 2006-11-07 | 2009-11-19 | 1111 12TH STREET, SUITE 206, KEY WEST, FL, 33040, US | 1111 12TH STREET, SUITE 206, KEY WEST, FL, 33040, US | |||||||||||||||||||||||||||||||
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| Phone | +1 305-294-8777 |
| Fax | 3052948298 |
Authorized person
| Name | RONALD EMILE ERSAY |
| Role | VICE PRESIDENT |
| Phone | 3052948777 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME17888 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 96157 |
| State | FL |
| Issuer | BCBS |
| Number | Z002M |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ERSAY MOLLY A | Agent | 52 Key Haven Road, KEY WEST, FL, 33040 |
| Name | Role | Address |
|---|---|---|
| ERSAY MOLLY A | President | 52 Key Haven Road, KEY WEST, FL, 33040 |
| Name | Role | Address |
|---|---|---|
| ERSAY MOLLY A | Secretary | 52 Key Haven Road, KEY WEST, FL, 33040 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-04-20 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-05 | 3428 N Roosevelt Blvd., KEY WEST, FL 33040 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-05 | 52 Key Haven Road, KEY WEST, FL 33040 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-18 | 3428 N Roosevelt Blvd., KEY WEST, FL 33040 | No data |
| REINSTATEMENT | 2011-04-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-04-20 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-06-11 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-03-18 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-03-20 |
| ANNUAL REPORT | 2014-04-06 |
| ANNUAL REPORT | 2013-04-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
