| Entity Name: | UNIFIED COUNSELING & MEDIATION, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
UNIFIED COUNSELING & MEDIATION, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 03 Mar 2011 (14 years ago) |
| Document Number: | L11000026420 |
| FEI/EIN Number |
275324359
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 7451 RIVIERA BLVD,, MIRAMAR, FL, 33023, US |
| Mail Address: | 7451 RIVIERA BLVD,, MIRAMAR, FL, 33023, US |
| ZIP code: | 33023 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932484466 | 2011-10-16 | 2023-04-29 | 7451 RIVIERA BLVD STE 120, MIRAMAR, FL, 330236569, US | 7451 RIVIERA BLVD STE 120, MIRAMAR, FL, 330236569, US | |||||||||||||||||||||||||||||||
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| Phone | +1 305-918-2588 |
| Fax | 3059741360 |
Authorized person
| Name | DR. CASSAUNDRA TENNILLE WIMES |
| Role | PSYCHOLOGIST |
| Phone | 3059182588 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | PY 8192 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 013070800 |
| State | FL |
| Issuer | MEDICAID |
| Number | 003127500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WIMES CASSAUNDRA | Manager | 7451 RIVIERA BLVD,, MIRAMAR, FL, 33023 |
| Patterson Renae | Manager | 7451 RIVIERA BLVD,, MIRAMAR, FL, 33023 |
| UNIFIED CONSULTING, LLC | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-28 | 7451 RIVIERA BLVD,, SUITE 120, MIRAMAR, FL 33023 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2021-06-25 | 7451 RIVIERA BLVD,, SUITE 120, MIRAMAR, FL 33023 | - |
| CHANGE OF MAILING ADDRESS | 2021-06-25 | 7451 RIVIERA BLVD,, SUITE 120, MIRAMAR, FL 33023 | - |
| REGISTERED AGENT NAME CHANGED | 2012-02-23 | UNIFIED CONSULTING | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-05-15 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-04-26 |
| ANNUAL REPORT | 2015-04-28 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7169008510 | 2021-03-05 | 0455 | PPS | 20535 NW 2nd Ave Ste 205, Miami, FL, 33169-2547 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Mar 2025
Sources: Florida Department of State
