| Entity Name: | SOUTH LAKE FAMILY COUNSELING SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 30 May 2017 (8 years ago) |
| Date of dissolution: | 27 Apr 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 27 Apr 2022 (3 years ago) |
| Document Number: | L17000117836 |
| FEI/EIN Number | 82-4544490 |
| Address: | 365 Citrus Tower Blvd, CLERMONT, FL, 34711, US |
| Mail Address: | 365 Citrus Tower Blvd, CLERMONT, FL, 34711, US |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568073195 | 2020-08-17 | 2020-08-17 | 12946 COLONNADE CIR, CLERMONT, FL, 347116611, US | 12946 COLONNADE CIR, CLERMONT, FL, 347116611, US | |||||||||||||
|
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| Phone | +1 352-359-2073 |
Authorized person
| Name | DR. ADRIAN T MANLEY |
| Role | OWNER/THERAPIST |
| Phone | 3523592073 |
Taxonomy
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MANLEY ADRIAN TDR. | Agent | 365 Citrus Tower Blvd, CLERMONT, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| MANLEY ADRIAN TDR. | Manager | 365 Citrus Tower Blvd, CLERMONT, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| MANLEY KATRINA L | Authorized Member | 614 EAST HWY 50 #266, CLERMONT, FL, 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-04-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-13 | 365 Citrus Tower Blvd, Suite 108, CLERMONT, FL 34711 | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-13 | 365 Citrus Tower Blvd, Suite 108, CLERMONT, FL 34711 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-13 | 365 Citrus Tower Blvd, Suite 108, CLERMONT, FL 34711 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-04-27 |
| ANNUAL REPORT | 2021-03-13 |
| ANNUAL REPORT | 2020-03-03 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-02-26 |
| Florida Limited Liability | 2017-05-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
