| Entity Name: | CLEARWATER COUNSELING CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 21 Jan 2016 (9 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L16000014852 |
| Address: | 3030 HOMESTEAD CT., CLEARWATER, FL, 33759 |
| Mail Address: | 3030 HOMESTEAD CT., CLEARWATER, FL, 33759 |
| ZIP code: | 33759 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184088262 | 2016-04-05 | 2016-04-05 | 3030 HOMESTEAD CT, CLEARWATER, FL, 337591619, US | 25400 US HIGHWAY 19 N, SUITE 172, CLEARWATER, FL, 337632149, US | |||||||||||||||||
|
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| Phone | +1 727-797-7211 |
Authorized person
| Name | MS. MARY ANN LANE |
| Role | SOLE MBR |
| Phone | 7274174491 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | SW 3074 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FOX, MARTUKOVICH AND ASSOCIATES, CPA | Agent | 2240 BELLAIR RD, CLEARWATER, FL, 33764 |
| Name | Role | Address |
|---|---|---|
| LANE MARY ANN | Manager | 3030 HOMESTEAD CT., CLEARWATER, FL, 33759 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2016-01-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
