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FORT LAUDERDALE COUPLES, FAMILY, AND INDIVIDUAL THERAPY, LLC

Company Details

Entity Name: FORT LAUDERDALE COUPLES, FAMILY, AND INDIVIDUAL THERAPY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 10 May 2013 (12 years ago)
Document Number: L13000069985
FEI/EIN Number 46-2821631
Address: 1881 NE 26th Street, 216, Wilton Manors, FL 33305
Mail Address: 1881 NE 26th Street, 216, Wilton Manors, FL 33305
ZIP code: 33305
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235578808 2013-06-17 2015-10-20 1881 NE 26TH ST, SUITE 221, WILTON MANORS, FL, 333051416, US 1881 NE 26TH ST, SUITE 221, WILTON MANORS, FL, 333051416, US

Contacts

Phone +1 954-789-9061

Authorized person

Name DOUGLAS B NELSON
Role OWNER
Phone 9547899061

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
License Number MH11689
State FL
Is Primary Yes

Agent

Name Role Address
TRANTALIS, DEAN J, ESQ. Agent 2301 WILTON DR., C1A, WILTON MANORS, FL 33305

Managing Member

Name Role Address
NELSON, DOUGLAS B Managing Member 1881 NE 26th Street, 216 Wilton Manors, FL 33305

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-02-25 1881 NE 26th Street, 216, Wilton Manors, FL 33305 No data
CHANGE OF MAILING ADDRESS 2021-02-25 1881 NE 26th Street, 216, Wilton Manors, FL 33305 No data
REGISTERED AGENT ADDRESS CHANGED 2016-03-18 2301 WILTON DR., C1A, WILTON MANORS, FL 33305 No data

Documents

Name Date
ANNUAL REPORT 2024-02-15
ANNUAL REPORT 2023-03-17
ANNUAL REPORT 2022-03-26
ANNUAL REPORT 2021-02-25
ANNUAL REPORT 2020-03-17
ANNUAL REPORT 2019-04-11
ANNUAL REPORT 2018-04-20
ANNUAL REPORT 2017-04-08
ANNUAL REPORT 2016-03-18
ANNUAL REPORT 2015-04-23

Date of last update: 22 Jan 2025

Sources: Florida Department of State