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COMMUNITY WELLNESS COUNSELING AND SUPPORT SERVICES, LLC - Florida Company Profile

Company Details

Entity Name: COMMUNITY WELLNESS COUNSELING AND SUPPORT SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

COMMUNITY WELLNESS COUNSELING AND SUPPORT SERVICES, 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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: 27 May 2014 (11 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 13 Oct 2020 (4 years ago)
Document Number: L14000084835
FEI/EIN Number 46-5749632

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 10611 NW State Road 20, BRISTOL, FL, 32321, US
Mail Address: 12958 Collins Hill Lane, BRISTOL, FL, 32321, US
ZIP code: 32321
County: Liberty
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043966971 2022-03-01 2022-03-01 10611 NW STATE ROAD 20, BRISTOL, FL, 323213441, US 10611 NW STATE ROAD 20, BRISTOL, FL, 323213441, US

Contacts

Phone +1 850-643-1033

Authorized person

Name WINTER COLLINS
Role OWNER
Phone 8506431033

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 1080947-00
State FL

Key Officers & Management

Name Role Address
COLLINS WINTER Manager 10611 NW SR 20, BRISTOL, FL, 32321
Collins Winter Agent 12958 Collins Hill Lane, BRISTOL, FL, 32321

Events

Event Type Filed Date Value Description
REINSTATEMENT 2020-10-13 - -
REGISTERED AGENT NAME CHANGED 2020-10-13 Collins, Winter -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 - -
CHANGE OF PRINCIPAL ADDRESS 2018-09-05 10611 NW State Road 20, BRISTOL, FL 32321 -
CHANGE OF MAILING ADDRESS 2016-07-08 10611 NW State Road 20, BRISTOL, FL 32321 -
REGISTERED AGENT ADDRESS CHANGED 2016-07-08 12958 Collins Hill Lane, BRISTOL, FL 32321 -

Documents

Name Date
ANNUAL REPORT 2024-03-25
ANNUAL REPORT 2023-04-04
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-07-27
REINSTATEMENT 2020-10-13
ANNUAL REPORT 2019-04-23
ANNUAL REPORT 2018-09-05
ANNUAL REPORT 2017-03-27
ANNUAL REPORT 2016-07-08
ANNUAL REPORT 2015-04-07

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5878807402 2020-05-13 0491 PPP 10611 NW STATE ROAD 20, BRISTOL, FL, 32321-3441
Loan Status Date 2021-07-14
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 13586.45
Loan Approval Amount (current) 13586.45
Undisbursed Amount 0
Franchise Name -
Lender Location ID 4392
Servicing Lender Name Centennial Bank
Servicing Lender Address 620 Chestnut St, CONWAY, AR, 72032-5404
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address BRISTOL, LIBERTY, FL, 32321-3441
Project Congressional District FL-02
Number of Employees 6
NAICS code 624190
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 4392
Originating Lender Name Centennial Bank
Originating Lender Address CONWAY, AR
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 13729.76
Forgiveness Paid Date 2021-06-09

Date of last update: 02 Mar 2025

Sources: Florida Department of State