| Entity Name: | PROGRESSIVE COUNSELING CENTERS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Dec 1999 (25 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 06 Feb 2017 (8 years ago) |
| Document Number: | P99000109997 |
| FEI/EIN Number | 593618413 |
| Address: | 1227 SOUTH PATRICK DRIVE, SATELLITE BEACH, FL, 32937, US |
| Mail Address: | 1227 SOUTH PATRICK DRIVE, SATELLITE BEACH, FL, 32937, US |
| ZIP code: | 32937 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275692204 | 2006-12-06 | 2009-06-10 | 1127 S PATRICK DR, SUITE 24, SATELLITE BEACH, FL, 329373939, US | 1127 S PATRICK DR, SUITE 24, SATELLITE BEACH, FL, 329373939, US | |||||||||||||||||||
|
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| Phone | +1 321-773-1111 |
| Fax | 3217731692 |
Authorized person
| Name | MR. JOHN W HOLDSWORTH |
| Role | EXECUTIVE DIRECTOR |
| Phone | 3217731111 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| License Number | 0705AD916901 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MUNDORF KENNETH T | Agent | 5972 GOLETA CIRCLE, MELBOURNE, FL, 32940 |
| Name | Role | Address |
|---|---|---|
| MUNDORF GWEN A | Chief Executive Officer | 5972 GOLETA CIRCLE, MELBOURNE, FL, 32940 |
| Name | Role | Address |
|---|---|---|
| MUNDORF KENNETH T | Vice President | 5972 GOLETA CIRCLE, MELBOURNE, FL, 32940 |
| Name | Role | Address |
|---|---|---|
| MUNDORF KENNETH T | President | 5972 GOLETA CIRCLE, MELBOURNE, FL, 32940 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G25000008964 | BREVARD OUTPATIENT ALTERNATIVE TREATMENT | ACTIVE | 2025-01-21 | 2030-12-31 | No data | 1227 S PATRICK DRIVE STE 108, SATELLITE BEACH, FL, 32937 |
| G17000015370 | BREVARD OUTPATIENT ALTERNATIVE TREATMENT | EXPIRED | 2017-02-10 | 2022-12-31 | No data | 1127 S PATRICK DR, STE 24, SATELLITE BEACH, FL, 32937 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-07-20 | 1227 SOUTH PATRICK DRIVE, SUITE 108, SATELLITE BEACH, FL 32937 | No data |
| CHANGE OF MAILING ADDRESS | 2022-07-20 | 1227 SOUTH PATRICK DRIVE, SUITE 108, SATELLITE BEACH, FL 32937 | No data |
| AMENDMENT | 2017-02-06 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-02-06 | MUNDORF, KENNETH T | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-02-06 | 5972 GOLETA CIRCLE, MELBOURNE, FL 32940 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-02-11 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-02-17 |
| ANNUAL REPORT | 2020-05-27 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-04-10 |
| Amendment | 2017-02-06 |
| ANNUAL REPORT | 2016-04-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
