| Entity Name: | ABUNDANCE, MENTAL HEALTH COUNSELING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Aug 2016 (9 years ago) |
| Document Number: | L16000154872 |
| FEI/EIN Number | 81-3714204 |
| Address: | 32313 BROADWAY ST. SUITE 310, SEBRING, FL, 33870, US |
| Mail Address: | 32313 BROADWAY ST. SUITE 310, SEBRING, FL, 33870, US |
| ZIP code: | 33870 |
| County: | Highlands |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962959940 | 2016-09-07 | 2016-09-07 | 32313 BROADWAY ST., SUITE 310, SEBRING, FL, 33870, US | 32313 BROADWAY ST,, SUITE 310, SEBRING, FL, 33870, US | |||||||||||||||||||||||
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| Phone | +1 863-446-2853 |
Authorized person
| Name | MRS. AMANDA ELAINE HOLLYWOOD |
| Role | MANAGER |
| Phone | 8634462853 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH12709 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 012332100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HOLLYWOOD AMANDA E | Agent | 1060 Cracker Hammock, SEBRING, FL, 33875 |
| Name | Role | Address |
|---|---|---|
| HOLLYWOOD AMANDA | Manager | 1060 Cracker Hammock, SEBRING, FL, 33875 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-19 | 1060 Cracker Hammock, SEBRING, FL 33875 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-02-08 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-06-13 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-01-25 |
| Florida Limited Liability | 2016-08-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
