| 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. |
| 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 |
| 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 | |||||||||||||||||||
|
|||||||||||||||||||||||
| 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 |
| Name | Role | Address |
|---|---|---|
| COLLINS WINTER | Manager | 10611 NW SR 20, BRISTOL, FL, 32321 |
| Collins Winter | Agent | 12958 Collins Hill Lane, BRISTOL, FL, 32321 |
| 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 | - |
| 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 |
| 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 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 02 Mar 2025
Sources: Florida Department of State
