| Entity Name: | HEALING SPIRIT COUNSELING CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 15 Apr 2016 (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: | L16000076490 |
| FEI/EIN Number | 81-2765778 |
| Address: | 151 College Drive, STE. 6, Orange Park, FL, 32065, US |
| Mail Address: | 2200 MARSH HAWK LN. #305, FLRMING ISLAND, FL, 32003, US |
| ZIP code: | 32065 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477908853 | 2016-05-04 | 2016-05-04 | 2200 MARSH HAWK LANE 305, FLEMING ISLAND, FL, 320036334, US | 4609 US HIGHWAY 17 STE 1, FLEMING ISLAND, FL, 320034818, US | |||||||||||||||||
|
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| Phone | +1 904-214-5109 |
Authorized person
| Name | KATHLEEN EDWARDS |
| Role | CEO |
| Phone | 9042145109 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | MH7879 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| EDWARDS KATHLEEN | Agent | 2200 MARSH HAWK LN. #305, FLEMING ISLAND, FL, 32003 |
| Name | Role | Address |
|---|---|---|
| EDWARDS KATHLEEN | Chief Executive Officer | 2200 MARSH HAWK LN. #305, FLEMING ISLAND, FL, 32003 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-30 | 151 College Drive, STE. 6, Orange Park, FL 32065 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-30 |
| Florida Limited Liability | 2016-04-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
