| Entity Name: | PRIVATE REFLECTIONS COUNSELING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Aug 2014 (11 years ago) |
| Document Number: | L14000123756 |
| FEI/EIN Number | 47-1530772 |
| Address: | 4623 NW 53RD AVENUE, GAINESVILLE, FL, 32653, US |
| Mail Address: | 4623 NW 53RD AVENUE, GAINESVILLE, FL, 32653, US |
| ZIP code: | 32653 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902207897 | 2014-09-10 | 2014-09-10 | 4623 NW 53RD AVE, GAINESVILLE, FL, 326534857, US | 4623 NW 53RD AVE, GAINESVILLE, FL, 326534857, US | |||||||||||||||||||||||||
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| Phone | +1 352-388-4121 |
| Fax | 8888558123 |
Authorized person
| Name | RACHEL CANNON GHULAMANI |
| Role | OWNER |
| Phone | 3523884121 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | 11918 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009272300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GHULAMANI RACHEL C | Agent | 4623 NW 53RD AVENUE, GAINESVILLE, FL, 32653 |
| Name | Role | Address |
|---|---|---|
| GHULAMANI RACHEL C | Manager | 4623 NW 53RD AVENUE, GAINESVILLE, FL, 32653 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-07 |
| ANNUAL REPORT | 2023-04-15 |
| ANNUAL REPORT | 2022-03-31 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-04-13 |
| ANNUAL REPORT | 2016-04-06 |
| ANNUAL REPORT | 2015-04-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
