| Entity Name: | THE CENTER OF LIFE COUNSELING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 May 2017 (8 years ago) |
| Document Number: | L17000115792 |
| FEI/EIN Number | 46-1248083 |
| Address: | 300 N. RONALD REAGAN BLVD., 302, LONGWOOD, FL, 32750, US |
| Mail Address: | 11712 Kickapoo Park Rd. #9, Oakwood, IL, 61858, US |
| ZIP code: | 32750 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992275598 | 2018-11-27 | 2018-11-27 | 300 N. RONALD REAGAN BLVD. #302, LONGWOOD, FL, 32779, US | 300 N. RONALD REAGAN BLVD. #302, LONGWOOD, FL, 32779, US | |||||||||||||||||||
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| Phone | +1 407-476-1432 |
Authorized person
| Name | JESSICA RICHARDS |
| Role | LMHC, OWNER |
| Phone | 4074761432 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1215375548 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RICHARDS JESSICA G | Agent | 11712 Kickapoo Park Rd. #9, Oakwood, FL, 61858 |
| Name | Role | Address |
|---|---|---|
| Richards The Center of J | Manager | 11712 Kickapoo Park Rd. #9, Oakwood, IL, 61858 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-03-30 | 300 N. RONALD REAGAN BLVD., 302, LONGWOOD, FL 32750 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-30 | 11712 Kickapoo Park Rd. #9, Oakwood, FL 61858 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-02 | 300 N. RONALD REAGAN BLVD., 302, LONGWOOD, FL 32750 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-08-17 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-03-30 |
| ANNUAL REPORT | 2020-06-22 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-02 |
| Florida Limited Liability | 2017-05-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
