| Entity Name: | MANTHER'S PLACE COUNSELING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Jan 2015 (10 years ago) |
| Document Number: | L15000000996 |
| FEI/EIN Number | 472546691 |
| Address: | 6108 ARLINGTON RD, JACKSONVILLE, FL, 32211, US |
| Mail Address: | 6108 Arlington Rd, Jacksonville, FL, 32211, US |
| ZIP code: | 32211 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235504978 | 2015-12-07 | 2015-12-07 | 6108 ARLINGTON RD, JACKSONVILLE, FL, 322115420, US | 6108 ARLINGTON RD, JACKSONVILLE, FL, 322115420, US | |||||||||||||||||||||||||||
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| Phone | +1 904-743-2327 |
| Fax | 9047432353 |
Authorized person
| Name | MRS. CONNIE E CLARK |
| Role | CEO, PSYCHOTHERAPIST |
| Phone | 9047432327 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| License Number | ADC-010509-2015 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | IMH11902 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CLARK CONNIE | Agent | 6108 Arlington Rd, Jacksonville, FL, 32211 |
| Name | Role | Address |
|---|---|---|
| Clark Connie EDr. | Chief Executive Officer | 6108 Arlington Rd, Jacksonville, FL, 32211 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2018-03-18 | 6108 ARLINGTON RD, JACKSONVILLE, FL 32211 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-18 | 6108 Arlington Rd, Jacksonville, FL 32211 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-23 | 6108 ARLINGTON RD, JACKSONVILLE, FL 32211 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-05-26 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-03-18 |
| ANNUAL REPORT | 2017-02-12 |
| ANNUAL REPORT | 2016-03-28 |
| Florida Limited Liability | 2015-01-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
