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EMERALD SHORES COUNSELING LLC

Company Details

Entity Name: EMERALD SHORES COUNSELING LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 04 Aug 2017 (8 years ago)
Date of dissolution: 25 Sep 2020 (4 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (4 years ago)
Document Number: L17000166856
FEI/EIN Number 82-2372665
Address: 4300 BAYOU BLVD, PENSACOLA, FL, 32503, US
Mail Address: 4300 BAYOU BLVD, PENSACOLA, FL, 32503, US
ZIP code: 32503
County: Escambia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1427554625 2018-04-05 2018-04-05 4300 BAYOU BLVD STE 21, PENSACOLA, FL, 325032671, US 4300 BAYOU BLVD STE 21, PENSACOLA, FL, 325032671, US

Contacts

Phone +1 850-816-6510
Fax 8503613220

Authorized person

Name JOSEPH BOARTS
Role OWNER/THERAPIST
Phone 8508166510

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
License Number MH14563
State FL
Is Primary Yes

Agent

Name Role
LEGALINC CORPORATE SERVICES INC. Agent

Authorized Member

Name Role Address
BOARTS JOSEPH Authorized Member 4300 BAYOU BLVD, PENSACOLA, FL, 32503

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-10-10 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2019-05-01 4300 BAYOU BLVD, 21, PENSACOLA, FL 32503 No data
CHANGE OF MAILING ADDRESS 2019-05-01 4300 BAYOU BLVD, 21, PENSACOLA, FL 32503 No data

Documents

Name Date
ANNUAL REPORT 2019-05-01
ANNUAL REPORT 2018-04-30
Florida Limited Liability 2017-08-04

Date of last update: 02 Feb 2025

Sources: Florida Department of State