| Entity Name: | MOSAIC COUNSELING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MOSAIC COUNSELING, 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 18 Jun 2015 (10 years ago) |
| Date of dissolution: | 27 Sep 2019 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (6 years ago) |
| Document Number: | L15000106243 |
| FEI/EIN Number |
47-4531722
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 33211 KAYLEE WAY, LEESBURG, FL, 34788, US |
| Address: | 4400 N HWY 19A, UNIT #5, MT. DORA, FL, 32757, US |
| ZIP code: | 32757 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891223756 | 2017-05-23 | 2018-03-17 | 33211 KAYLEE WAY, LEESBURG, FL, 347883831, US | 4400 N HIGHWAY 19A STE 5, MOUNT DORA, FL, 327572022, US | |||||||||||||||||||||||||
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| Phone | +1 352-501-8210 |
| Fax | 4078676316 |
Authorized person
| Name | WENDY TAYLOR |
| Role | OWNER |
| Phone | 3525018210 |
Taxonomy
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| License Number | MT3121 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 016559600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TAYLOR WENDY L | Chief Executive Officer | 4400 HWY 19A, UNIT #5, MT. DORA, FL, 32757 |
| TAYLOR WENDY | Agent | 4400 N HWY 19A, MT. DORA, FL, 32757 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| CHANGE OF MAILING ADDRESS | 2015-11-20 | 4400 N HWY 19A, UNIT #5, MT. DORA, FL 32757 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-02-13 |
| ANNUAL REPORT | 2017-02-23 |
| ANNUAL REPORT | 2016-08-14 |
| Florida Limited Liability | 2015-06-18 |
Date of last update: 02 May 2025
Sources: Florida Department of State
