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WHITE PICKET FENCE COUNSELING CENTER LLC

Company Details

Entity Name: WHITE PICKET FENCE COUNSELING CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 14 Jul 2005 (20 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 06 Jan 2016 (9 years ago)
Document Number: L05000071133
FEI/EIN Number 54-2180890
Address: 1606 CLAYMORE RD., CHAPEL HILL, NC 27516
Mail Address: 30190 US Highway 19 N, Box #1044, Clearwater, FL 33761
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942642632 2013-07-23 2013-07-23 1345 CLAY ST, WINTER PARK, FL, 327895404, US 1345 CLAY ST, WINTER PARK, FL, 327895404, US

Contacts

Phone +1 407-622-0202
Fax 4076451017

Authorized person

Name MS. SANDEE NEBEL
Role PRESIDENT
Phone 4076220202

Taxonomy

Taxonomy Code 101Y00000X - Counselor
License Number MH9281
State FL
Is Primary Yes
Taxonomy Code 101YA0400X - Addiction (Substance Use Disorder) Counselor
License Number MH9281
State FL
Is Primary No
Taxonomy Code 101YM0800X - Mental Health Counselor
License Number MH9281
State FL
Is Primary No

Agent

Name Role Address
Walsh Banks Law Agent 228 Hillcrest Street, Orlando, FL 32801

Authorized Representative

Name Role Address
Nebel, Sandee S Authorized Representative 1606 CLAYMORE RD., CHAPEL HILL, NC 27516

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000122395 WHITE PICKET FENCE COUNSELING CENTER ACTIVE 2015-12-04 2025-12-31 No data 2818 COUNTRYSIDE BLVD, APT 424, CLEARWATER, FL, 33761
G08192900208 WHITE PICKET FENCE COUNSELING CENTER EXPIRED 2008-07-10 2013-12-31 No data 1345 CLAY STREET, WINTER PARK, FL, 32789

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-15 1606 CLAYMORE RD., CHAPEL HILL, NC 27516 No data
CHANGE OF MAILING ADDRESS 2023-04-22 1606 CLAYMORE RD., CHAPEL HILL, NC 27516 No data
REGISTERED AGENT NAME CHANGED 2023-04-07 Walsh Banks Law No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-07 228 Hillcrest Street, Orlando, FL 32801 No data
LC AMENDMENT 2016-01-06 No data No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-02-15
ANNUAL REPORT 2024-02-12
AMENDED ANNUAL REPORT 2023-04-22
ANNUAL REPORT 2023-04-07
ANNUAL REPORT 2022-04-14
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-06-28
ANNUAL REPORT 2019-05-09
ANNUAL REPORT 2018-03-09
ANNUAL REPORT 2017-03-16

Date of last update: 04 Jan 2025

Sources: Florida Department of State