| Entity Name: | CENTER FOR SEXUAL HEALTH & WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 Feb 2017 (8 years ago) |
| Document Number: | L17000041923 |
| FEI/EIN Number | 81-5478313 |
| Address: | 11582 SW Village Pkwy, #1137, Port St Lucie, FL 34987 |
| Mail Address: | 11582 SW Village Pkwy, #1137, Port St Lucie, FL 34987 |
| ZIP code: | 34987 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841722741 | 2017-03-30 | 2021-10-29 | 1860 SW FOUNTAINVIEW BLVD STE 100, PORT ST LUCIE, FL, 349864528, US | 1860 SW FOUNTAINVIEW BLVD STE 100, PORT ST LUCIE, FL, 349864528, US | |||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 772-208-7834 |
| Fax | 4957746179 |
Authorized person
| Name | MS. CHASITY SHANELL CHANDLER |
| Role | OWNER/THERAPIST |
| Phone | 7722457608 |
Taxonomy
| Taxonomy Code | 101Y00000X - Counselor |
| License Number | MH12547 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| License Number | MCAP10044 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH12547 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 101YP2500X - Professional Counselor |
| License Number | MH12547 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Fowlkes, CHASITY S | Agent | 11582 SW Village Pkwy, #1137, Port St Lucie, FL 34987 |
| Name | Role | Address |
|---|---|---|
| Fowlkes, CHASITY S | Chief Executive Officer | 11582 SW Village Pkwy, #1137 Port St Lucie, FL 34987 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000100758 | INSTITUTE FOR RELATIONSHIP & SEX COACHING | ACTIVE | 2021-08-01 | 2026-12-31 | No data | 1317 EDGEWATER DR., SUITE 2057, ORLANDO, FL, 32804 |
| G20000072027 | CATALYST FOR CHANGE PSYCHIATRY & COUNSELING SERVICES | ACTIVE | 2020-06-25 | 2025-12-31 | No data | 1814 SE PORT SAINT LUCIE BLVD, PORT SAINT LUCIE, FL, 34952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-30 | 11582 SW Village Pkwy, #1137, Port St Lucie, FL 34987 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-30 | 11582 SW Village Pkwy, #1137, Port St Lucie, FL 34987 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-30 | 11582 SW Village Pkwy, #1137, Port St Lucie, FL 34987 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-05-01 | Fowlkes, CHASITY S | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-04-30 |
| Florida Limited Liability | 2017-02-22 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
