| Entity Name: | BOUNDLESS LIVING COACHING COUNSELING CONSULTING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Feb 2014 (11 years ago) |
| Document Number: | L14000033891 |
| FEI/EIN Number | 46-4591943 |
| Address: | 1964 Howell Branch Rd., Winter Park, FL, 32792, US |
| Mail Address: | 1964 Howell Branch Rd., Winter Park, FL, 32792, US |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093302747 | 2020-12-29 | 2022-03-03 | 1964 HOWELL BRANCH RD STE 110, WINTER PARK, FL, 327921042, US | 1964 HOWELL BRANCH RD STE 110, WINTER PARK, FL, 327921042, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 561-315-5939 |
Authorized person
| Name | CORTINA D PETERS |
| Role | OWNER |
| Phone | 5613155939 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1285925578 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Peters Cortina D | Agent | 1964 Howell Branch Rd., Winter Park, FL, 32792 |
| Name | Role | Address |
|---|---|---|
| PETERS CORTINA D | Owne | 1964 Howell Branch Rd., Winter Park, FL, 32792 |
| Name | Role | Address |
|---|---|---|
| Louis Dunchy | Director | 1964 Howell Branch Rd., Winter Park, FL, 32792 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-29 | 1964 Howell Branch Rd., 110, Winter Park, FL 32792 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-29 | 1964 Howell Branch Rd., 110, Winter Park, FL 32792 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-04-29 | Peters, Cortina Deral | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-29 | 1964 Howell Branch Rd., 110, Winter Park, FL 32792 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-17 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-04-06 |
| ANNUAL REPORT | 2019-02-20 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-03-08 |
| ANNUAL REPORT | 2016-02-18 |
| ANNUAL REPORT | 2015-03-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
