| Entity Name: | KRISTIN SOLBERG, LCSW, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
KRISTIN SOLBERG, LCSW, LLC 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: | 24 Feb 2012 (13 years ago) |
| Document Number: | L12000026930 |
| FEI/EIN Number |
45-4773355
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 631 N Hyer Ave., Orlando, FL 32803 |
| Mail Address: | 1105 walnut st, ORLANDO, FL 32806 |
| ZIP code: | 32803 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356719686 | 2015-09-03 | 2015-09-03 | 1345 CLAY ST, WINTER PARK, FL, 327895404, US | 1345 CLAY ST, WINTER PARK, FL, 327895404, US | |||||||||||||||||||||||||
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| Phone | +1 407-340-1708 |
| Fax | 4076419245 |
Authorized person
| Name | KRISTIN ELIZABETH SOLBERG |
| Role | OWNER/THERAPIST |
| Phone | 4073401708 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW9298 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 005455300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SOLBERG, KRISTIN E | Agent | 631 N. Hyer Ave., Orlando, FL 32803 |
| SOLBERG, KRISTIN E | Managing Member | 631 N. Hyer Ave., Orlando, FL 32803 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-15 | 631 N Hyer Ave., Orlando, FL 32803 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-15 | 631 N. Hyer Ave., Orlando, FL 32803 | - |
| CHANGE OF MAILING ADDRESS | 2015-02-10 | 631 N Hyer Ave., Orlando, FL 32803 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-16 |
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-02-24 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-03-07 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-03-15 |
| ANNUAL REPORT | 2016-04-19 |
Date of last update: 22 Feb 2025
Sources: Florida Department of State
