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CHANGING LIVES COUNSELING SERVICES LLC

Company Details

Entity Name: CHANGING LIVES COUNSELING SERVICES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 22 Feb 2012 (13 years ago)
Date of dissolution: 27 Sep 2013 (11 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2013 (11 years ago)
Document Number: L12000025402
Address: 2099 SHADOW LN, CLEARWATER, FL, 33763
Mail Address: 2099 SHADOW LN, CLEARWATER, FL, 33763
ZIP code: 33763
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801146360 2012-09-12 2012-09-12 3000 GULF TO BAY BLVD, STE 210, CLEARWATER, FL, 337594321, US 3000 GULF TO BAY BLVD, STE 210, CLEARWATER, FL, 337594321, US

Contacts

Phone +1 813-416-6841

Authorized person

Name ADELMA R REYES
Role OWNER/ AGENT
Phone 8134166841

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
License Number MH9542
State FL
Is Primary Yes

Agent

Name Role Address
REYES ADELMA R Agent 2099 SHADOW LN, CLEARWATER, FL, 33763

Manager

Name Role Address
REYES ADELMA R Manager 2099 SHADOW LN, CLEARWATER, FL, 33763

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data

Documents

Name Date
Florida Limited Liability 2012-02-22

Date of last update: 01 Feb 2025

Sources: Florida Department of State