| Entity Name: | DAVID SHOOTS COUNSELING SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Jul 2017 (8 years ago) |
| Document Number: | L17000143693 |
| FEI/EIN Number | 82-2050600 |
| Address: | 1400 DUNLAWTON AVE SUITE 5E, PORT ORANGE, FL, 32127, US |
| Mail Address: | 1400 DUNLAWTON AVE SUITE 5E, PORT ORANGE, FL, 32127, US |
| ZIP code: | 32127 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558874297 | 2017-11-15 | 2017-11-15 | 215 S PALMETTO AVE, DAYTONA BEACH, FL, 321144308, US | 215 S PALMETTO AVE, DAYTONA BEACH, FL, 321144308, US | |||||||||||||||||||
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| Phone | +1 386-747-2331 |
| Fax | 3869477441 |
Authorized person
| Name | DAVID SHOOTS |
| Role | OWNER |
| Phone | 3867472331 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| License Number | SW6973 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHOOTS DAVID L | Agent | 4639 Clyde Morris Blvd, Port Orange,, FL, 32129 |
| Name | Role | Address |
|---|---|---|
| SHOOTS DAVID LDr. | Manager | 1400 DUNLAWTON AVE SUITE 5E, Port Orange,, FL, 32127 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-30 | 1400 DUNLAWTON AVE SUITE 5E, PORT ORANGE, FL 32127 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-30 | 1400 DUNLAWTON AVE SUITE 5E, PORT ORANGE, FL 32127 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-23 | 4639 Clyde Morris Blvd, Unit 107, Port Orange,, FL 32129 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-06-10 |
| ANNUAL REPORT | 2018-04-12 |
| Florida Limited Liability | 2017-07-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
