| Entity Name: | DAN HOFFMAN LCSW LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 24 Feb 2017 (8 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: | L17000044554 |
| Address: | 8546 W HOMOSASSA TRAIL, SUITE 5, HOMOSASSA, FL, 34448 |
| Mail Address: | 8546 W HOMOSASSA TRAIL, SUITE 5, HOMOSASSA, FL, 34448 |
| ZIP code: | 34448 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942733241 | 2017-04-04 | 2017-04-05 | 21 HEMLOCK CT E, HOMOSASSA, FL, 344465145, US | 8546 W HOMOSASSA TRL, SUITE 5, HOMOSASSA, FL, 344482708, US | |||||||||||||||||||||||||
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| Phone | +1 352-601-3627 |
| Fax | 8666952930 |
Authorized person
| Name | DANIEL HOFFMAN |
| Role | MENTAL HEALTH COUNSELOR |
| Phone | 3526013627 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW7942 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000790700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HOFFMAN DANIEL L | Agent | 8546 W HOMOSASSA TRAIL, HOMOSASSA, FL, 34448 |
| Name | Role | Address |
|---|---|---|
| HOFFMAN MAUREEN | Manager | PO BOX 312, HOMOSASSA SPRINGS, FL, 34447 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2017-02-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
