| Entity Name: | TREE OF LIFE COUNSELING CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Jan 2016 (9 years ago) |
| Document Number: | L16000009565 |
| FEI/EIN Number | 81-0961271 |
| Address: | 916 US Highway 41 South, Inverness, FL, 34450, US |
| Mail Address: | P.O. BOX 121, FLORAL CITY, FL, 34436, US |
| ZIP code: | 34450 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538527619 | 2016-02-04 | 2017-03-30 | PO BOX 121, FLORAL CITY, FL, 344360121, US | 8163 S FLORIDA AVE, FLORAL CITY, FL, 344363101, US | |||||||||||||||||||||||
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| Phone | +1 352-400-9118 |
Authorized person
| Name | LAURIE P KEEFE-CECERE |
| Role | MANAGER |
| Phone | 3524009118 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW10704 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004716700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KEEFE-CECERE LAURIE P | Agent | 916 US Highway 41 South, Inverness, FL, 34450 |
| Name | Role | Address |
|---|---|---|
| KEEFE-CECERE LAURIE P | Manager | P.O. BOX 121, FLORAL CITY, FL, 34436 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-23 | 916 US Highway 41 South, Inverness, FL 34450 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-23 | 916 US Highway 41 South, Inverness, FL 34450 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-03-15 |
| ANNUAL REPORT | 2021-03-13 |
| ANNUAL REPORT | 2020-07-01 |
| ANNUAL REPORT | 2019-03-28 |
| ANNUAL REPORT | 2018-04-20 |
| ANNUAL REPORT | 2017-04-13 |
| Florida Limited Liability | 2016-01-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
