| Entity Name: | PROVENZANO COUNSELING SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 14 Aug 2015 (10 years ago) |
| Date of dissolution: | 07 Apr 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 07 Apr 2021 (4 years ago) |
| Document Number: | L15000139588 |
| FEI/EIN Number | 47-4909183 |
| Address: | 13400 SUTTON PARK DRIVE SOUTH, SUITE 1504, JACKSONVILLE, FL, 32224 |
| Mail Address: | 912 COLLINSWOOD DRIVE WEST, JACKSONVILLE, FL, 32225 |
| ZIP code: | 32224 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487167227 | 2017-11-15 | 2017-11-15 | 912 COLLINSWOOD DR W, JACKSONVILLE, FL, 322250861, US | 13400 SUTTON PARK DR S STE 1504, JACKSONVILLE, FL, 322240237, US | |||||||||||||||||
|
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| Phone | +1 904-568-5826 |
Authorized person
| Name | MRS. LIZA CRISTIN PROVENZANO |
| Role | OWNER/COUNSELOR |
| Phone | 9045685826 |
Taxonomy
| Taxonomy Code | 101Y00000X - Counselor |
| License Number | MH9038 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PROVENZANO LIZA | Agent | 912 COLLINSWOOD DRIVE WEST, JACKSONVILLE, FL, 32225 |
| Name | Role | Address |
|---|---|---|
| PROVENZANO LIZA | Member | 912 COLLINSWOOD DRIVE WEST, JACKSONVILLE, FL, 32225 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-04-07 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-04-07 |
| ANNUAL REPORT | 2020-01-07 |
| ANNUAL REPORT | 2019-01-03 |
| ANNUAL REPORT | 2018-01-03 |
| ANNUAL REPORT | 2017-01-17 |
| ANNUAL REPORT | 2016-04-26 |
| Florida Limited Liability | 2015-08-14 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
