| Entity Name: | OCEANSIDE FAMILY THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 17 Apr 2013 (12 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L13000056255 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 328 2ND AVENUE NORTH, JACKSONVILLE BEACH, FL 32250 |
| Mail Address: | 328 2ND AVENUE NORTH, JACKSONVILLE BEACH, FL 32250 |
| ZIP code: | 32250 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649657289 | 2015-05-04 | 2015-05-04 | 328 2ND AVE N, JACKSONVILLE BEACH, FL, 322505509, US | 328 2ND AVE N, JACKSONVILLE BEACH, FL, 322505509, US | |||||||||||||||||||||||||||
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| Phone | +1 904-234-0574 |
| Fax | 9047585328 |
Authorized person
| Name | NICOLE STORY |
| Role | PRESIDENT |
| Phone | 9042340574 |
Taxonomy
| Taxonomy Code | 103TC1900X - Counseling Psychologist |
| License Number | MH7433 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| License Number | MT2208 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STORY, NICOLE | Agent | 328 2ND AVENUE NORTH, JACKSONVILLE BEACH, FL 32250 |
| Name | Role | Address |
|---|---|---|
| STORY, NICOLE | Managing Member | 328 2ND AVENUE NORTH, JACKSONVILLE BEACH, FL 32250 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-02-01 | 328 2ND AVENUE NORTH, JACKSONVILLE BEACH, FL 32250 | No data |
| CHANGE OF MAILING ADDRESS | 2025-02-01 | 328 2ND AVENUE NORTH, JACKSONVILLE BEACH, FL 32250 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-01 | 328 2ND AVENUE NORTH, JACKSONVILLE BEACH, FL 32250 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-01 | 328 2ND AVENUE NORTH, JACKSONVILLE BEACH, FL 32250 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-02-27 |
| ANNUAL REPORT | 2014-04-20 |
| Florida Limited Liability | 2013-04-17 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
