| Entity Name: | CREATIVE COUNSELING GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 01 Dec 2015 (9 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L15000200743 |
| FEI/EIN Number | 81-1079098 |
| Address: | 1928 Proctor Ave., ORLANDO, FL, 32817, US |
| Mail Address: | 1928 Proctor Ave., ORLANDO, FL, 32817, US |
| ZIP code: | 32817 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386178838 | 2017-04-11 | 2017-04-11 | 1928 PROCTOR AVE, ORLANDO, FL, 328174200, US | 1928 PROCTOR AVE, ORLANDO, FL, 328174200, US | |||||||||||||||||
|
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| Phone | +1 407-810-8319 |
Authorized person
| Name | MR. TYLER ALLEN CONNER |
| Role | OWNER |
| Phone | 4078108319 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | IMH14125 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CONNER TYLER A | Agent | 1928 Proctor Ave., ORLANDO, FL, 32817 |
| Name | Role | Address |
|---|---|---|
| CONNER TYLER A | Manager | 1928 Proctor Ave., ORLANDO, FL, 32817 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-22 | 1928 Proctor Ave., ORLANDO, FL 32817 | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-22 | 1928 Proctor Ave., ORLANDO, FL 32817 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-22 | 1928 Proctor Ave., ORLANDO, FL 32817 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-01-22 |
| ANNUAL REPORT | 2016-04-11 |
| Florida Limited Liability | 2015-12-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
