| Entity Name: | CORNERSTONE OF CHANGE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 23 May 2017 (8 years ago) |
| Document Number: | L17000112944 |
| FEI/EIN Number | 82-2254441 |
| Address: | 8570 STIRLING ROAD, SUITE 102-228, HOLLYWOOD, FL 33924 |
| Mail Address: | 8570 STIRLING ROAD, SUITE 102-228, HOLLYWOOD, FL 33924 |
| ZIP code: | 33924 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053819094 | 2018-01-24 | 2018-01-24 | 5846 S FLAMINGO RD # 513, COOPER CITY, FL, 333303237, US | 2250 NW 136 AVE, PEMBROKE PINES, FL, 330282586, US | |||||||||||||
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| Phone | +1 954-247-4157 |
Authorized person
| Name | TRACY OLIVER |
| Role | MANAGER |
| Phone | 9542474157 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GOLDEN, E. SCOTT | Agent | 3107 STIRLING ROAD, SUITE 201, FORT LAUDERDALE, FL 33312 |
| Name | Role | Address |
|---|---|---|
| OLIVER, TRACY | Manager | 8570 STIRLING ROAD, SUITE 102-228, HOLLYWOOD, FL 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-13 | 8570 STIRLING ROAD, SUITE 102-228, HOLLYWOOD, FL 33924 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-13 | 8570 STIRLING ROAD, SUITE 102-228, HOLLYWOOD, FL 33924 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-19 | 3107 STIRLING ROAD, SUITE 201, FORT LAUDERDALE, FL 33312 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-02-13 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-03-08 |
| ANNUAL REPORT | 2020-02-14 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-03-12 |
| Florida Limited Liability | 2017-05-23 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
