| Entity Name: | KELLIE GARZA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Jul 2015 (10 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 22 Oct 2016 (8 years ago) |
| Document Number: | L15000124891 |
| FEI/EIN Number | 47-4621556 |
| Address: | 5445 VILLAGE DR, 103, VIERA, FL, 32955, US |
| Mail Address: | 5445 VILLAGE DR, 103, VIERA, FL, 32955, US |
| ZIP code: | 32955 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750750634 | 2015-09-21 | 2015-09-21 | 5445 VILLAGE DR STE 104, VIERA, FL, 329556666, US | 5445 VILLAGE DR STE 104, VIERA, FL, 329556666, US | |||||||||||||||||
|
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| Phone | +1 321-403-7036 |
Authorized person
| Name | KELLIE GARZA |
| Role | PSYCHOTHERAPIST |
| Phone | 3214037036 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH9492 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| FLORIDA MENTAL HEALTH LICENSURE SERVICES, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| GARZA KELLIE | Manager | 5445 VILLAGE DR SUITE 103, VIERA, FL, 32955 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-11 | 5445 VILLAGE DR, 103, VIERA, FL 32955 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-11 | 5445 VILLAGE DR, 103, VIERA, FL 32955 | No data |
| REINSTATEMENT | 2016-10-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-10-22 | FLORIDA MENTAL HEALTH LICENSURE SERVICES | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-02-16 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-01-30 |
| ANNUAL REPORT | 2019-03-11 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-17 |
| REINSTATEMENT | 2016-10-22 |
| Florida Limited Liability | 2015-07-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
