| Entity Name: | MARA'S LIGHTHOUSE COUNSELING CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Oct 2017 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Oct 2018 (6 years ago) |
| Document Number: | L17000209626 |
| FEI/EIN Number | 82-3047980 |
| Address: | 12086 Fort Caroline Rd, Ste 201, JACKSONVILLE, FL, 32225, US |
| Mail Address: | 12086 Fort Caroline Rd, Ste 201, JACKSONVILLE, FL, 32225, US |
| ZIP code: | 32225 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407478613 | 2020-05-11 | 2020-06-16 | 6015 MORROW ST E STE 114, JACKSONVILLE, FL, 322172125, US | 6015 MORROW ST E STE 114, JACKSONVILLE, FL, 322172125, US | |||||||||||||||
|
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| Phone | +1 904-990-8105 |
| Fax | 9045623359 |
Authorized person
| Name | SHAMARA D GIBSON |
| Role | CLINICAL SOCIAL WORKER |
| Phone | 9049908105 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GIBSON SHAMARA D | Agent | 12086 Fort Caroline Rd, JACKSONVILLE, FL, 32225 |
| Name | Role | Address |
|---|---|---|
| GIBSON SHAMARA D | Chief Executive Officer | 12086 Fort Caroline Rd, JACKSONVILLE, FL, 32225 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-12 | 12086 Fort Caroline Rd, Ste 201, JACKSONVILLE, FL 32225 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-12 | 12086 Fort Caroline Rd, Ste 201, JACKSONVILLE, FL 32225 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-12 | 12086 Fort Caroline Rd, Ste 201, JACKSONVILLE, FL 32225 | No data |
| REINSTATEMENT | 2018-10-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-10-08 | GIBSON, SHAMARA D | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-03-12 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-02-13 |
| REINSTATEMENT | 2018-10-08 |
| Florida Limited Liability | 2017-10-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
