| Entity Name: | CLIENT SUPPORT ALLIANCE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 27 Jul 2015 (10 years ago) |
| Date of dissolution: | 11 Feb 2016 (9 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 11 Feb 2016 (9 years ago) |
| Document Number: | L15000126848 |
| Address: | 2945 SW 145 AVENUE, MIAMI, FL 33175 |
| Mail Address: | 2945 SW 145 AVENUE, MIAMI, FL 33175 |
| ZIP code: | 33175 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982080677 | 2015-08-04 | 2015-08-13 | 2450 SW 137TH AVE, SUITE 235, MIAMI, FL, 331758802, US | 2450 SW 137TH AVE, SUITE 235, MIAMI, FL, 331758802, US | |||||||||||||||||||||||
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| Phone | +1 786-234-9166 |
Authorized person
| Name | CHRISTINE SERRA |
| Role | MANAGER |
| Phone | 7862349166 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | LMHC8687 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 597120 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CALVO, PEDRO | Agent | 2460 SW 137 AVENUE, SUITE 235, MIAMI, FL 33175 |
| Name | Role | Address |
|---|---|---|
| CALVO, PEDRO | Manager | 2945 SW 145 AVENUE, MIAMI, FL 33175 |
| SERRA, CHRISTINE | Manager | 2945 SW 145 AVENUE, MIAMI, FL 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2016-02-11 | No data | No data |
| LC AMENDMENT | 2015-08-10 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-08-10 | 2460 SW 137 AVENUE, SUITE 235, MIAMI, FL 33175 | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2016-02-11 |
| LC Amendment | 2015-08-10 |
| Florida Limited Liability | 2015-07-27 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
