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MCW MD - RESILIENCE COUNSELING, LLC

Company Details

Entity Name: MCW MD - RESILIENCE COUNSELING, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 24 May 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: L16000100585
FEI/EIN Number 81-3057316
Address: 3925 INDIAN TRAIL, DESTIN, FL 32541
Mail Address: 3925 INDIAN TRAIL, DESTIN, FL 32541
ZIP code: 32541
County: Okaloosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679020218 2016-09-01 2017-04-03 1000 EXECUTIVE DR, SUITE 7, OVIEDO, FL, 327658140, US 1000 EXECUTIVE DR, SUITE 7, OVIEDO, FL, 327658140, US

Contacts

Phone +1 407-977-4335
Fax 4079774370

Authorized person

Name MICHAEL C WILLIAMS
Role OWNER
Phone 4079774335

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role Address
FLEET, H. BART, ESQ Agent 1283 ENGLIN PKWY STE A, CHALIMAR, FL 32579

Member

Name Role Address
WILLIAMS, MICHAEL C Member 3925 INDIAN TRAIL, DESTIN, FL 32541

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data

Documents

Name Date
ANNUAL REPORT 2017-04-07
Florida Limited Liability 2016-05-24

Date of last update: 20 Jan 2025

Sources: Florida Department of State