| Entity Name: | CATALYST COUNSELING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Apr 2005 (20 years ago) |
| Document Number: | L05000043418 |
| FEI/EIN Number | 203907761 |
| Address: | 215 E. OAK ST, LAKELAND, FL, 33801, US |
| Mail Address: | 7703 LEWIS RD., LAKELAND, FL, 33810, US |
| ZIP code: | 33801 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548671274 | 2014-05-15 | 2014-05-15 | 308 E LEMON ST, SUITE 105, LAKELAND, FL, 338015048, US | 308 E LEMON ST, SUITE 105, LAKELAND, FL, 338015048, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 863-284-0817 |
| Fax | 8632840608 |
Authorized person
| Name | MS. NORMA VAILLETTE |
| Role | LICENSED MENTAL HEALTH COUNSELOR |
| Phone | 8632840817 |
Taxonomy
| Taxonomy Code | 101YP2500X - Professional Counselor |
| License Number | MH7955 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000921800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VAILLETTE NORMA J | Agent | 7703 LEWIS RD, LAKELAND, FL, 33810 |
| Name | Role | Address |
|---|---|---|
| VAILLETTE NORMA J | Manager | 7703 LEWIS RD., LAKELAND, FL, 33810 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-05-01 | 215 E. OAK ST, LAKELAND, FL 33801 | No data |
| CHANGE OF MAILING ADDRESS | 2007-04-09 | 215 E. OAK ST, LAKELAND, FL 33801 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-04-09 | 7703 LEWIS RD, LAKELAND, FL 33810 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-03-03 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-02-20 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-01-18 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-02-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
