| Entity Name: | PORTNER COUNSELING GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 Jan 2011 (14 years ago) |
| Document Number: | L11000012383 |
| FEI/EIN Number | 274698593 |
| Address: | 2345 stanford court, naples, FL, 34112, US |
| Mail Address: | 2345 stanford court, naples, FL, 34112, US |
| ZIP code: | 34112 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023460821 | 2016-07-06 | 2016-07-06 | 1800 N FEDERAL HWY, SUITE 206, POMPANO BEACH, FL, 330621034, US | 1800 N FEDERAL HWY, SUITE 206, POMPANO BEACH, FL, 330621034, US | |||||||||||||||||||||||||
|
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| Phone | +1 954-895-6263 |
| Fax | 2397750088 |
Authorized person
| Name | CASEY M PORTNER |
| Role | MANAGING OWNER |
| Phone | 9548956263 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| License Number | 1706AD859301 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE DCF LICENSE |
| Number | 1706AD859301 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PORTNER CASEY M | Agent | 5664 napa woods way, NAPLES, FL, 34116 |
| Name | Role | Address |
|---|---|---|
| portner casey m | Managing Member | 5664 napa woods way, NAPLES, FL, 34116 |
| Name | Role | Address |
|---|---|---|
| Garcia Yaroslaba T | Manager | 12811 Kenwood Lane, Fort Myers, FL, FL, 33907 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000017337 | COUNSELING OF SOUTHWEST FLORIDA | ACTIVE | 2019-02-02 | 2029-12-31 | No data | 2345 STANFORD COURT, SUITE 602, NAPLES, FL, 33442 |
| G17000072347 | CYPRESS WEST INTENSIVE OUTPATIENT | EXPIRED | 2017-07-05 | 2022-12-31 | No data | 2345 STANFORD COURT, SUITE 601, NAPLES, FL, 34112 |
| G13000062360 | COUNSELING OF SOUTHWEST FLORIDA | EXPIRED | 2013-06-20 | 2018-12-31 | No data | 2345 STANFORD COURT, SUITE 601, NAPLES, FL, 34112 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-17 | 5664 napa woods way, NAPLES, FL 34116 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-02 | 2345 stanford court, suite 601, naples, FL 34112 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-02 | 2345 stanford court, suite 601, naples, FL 34112 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-08-09 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-03-11 |
| ANNUAL REPORT | 2021-02-24 |
| ANNUAL REPORT | 2020-03-17 |
| ANNUAL REPORT | 2019-02-02 |
| ANNUAL REPORT | 2018-06-27 |
| ANNUAL REPORT | 2017-01-07 |
| ANNUAL REPORT | 2016-02-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
