| Entity Name: | ALLEGIANCE CLINICAL COUNSELING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 24 Oct 2012 (12 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L12000135272 |
| FEI/EIN Number | N/A |
| Address: | 4835 HOLLYWOOD BOULEVARD, SUITE 2, HOLLYWOOD, FL 33021 |
| Mail Address: | 4835 HOLLYWOOD BOULEVARD, SUITE 2, HOLLYWOOD, FL 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174967681 | 2013-04-26 | 2013-04-26 | 4835 HOLLYWOOD BLVD, 2, HOLLYWOOD, FL, 330216548, US | 4835 HOLLYWOOD BLVD, 2, HOLLYWOOD, FL, 330216548, US | |||||||||||||||
|
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| Phone | +1 954-251-2796 |
| Fax | 7544009076 |
Authorized person
| Name | VIVIAN MATHIS |
| Role | OWNER |
| Phone | 9542512796 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MATHIS, VIVIAN | Agent | 4835 HOLLYWOOD BOULEVARD, SUITE 2, HOLLYWOOD, FL 33021 |
| Name | Role | Address |
|---|---|---|
| MATHIS, VIVIAN | Owner | 4835 HOLLYWOOD BOULEVARD, SUITE 2 HOLLYWOOD, FL 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-09-10 | 4835 HOLLYWOOD BOULEVARD, SUITE 2, HOLLYWOOD, FL 33021 | No data |
| CHANGE OF MAILING ADDRESS | 2013-09-10 | 4835 HOLLYWOOD BOULEVARD, SUITE 2, HOLLYWOOD, FL 33021 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-01-09 |
| Reg. Agent Change | 2013-09-17 |
| ANNUAL REPORT | 2013-04-14 |
| Florida Limited Liability | 2012-10-24 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
