| Entity Name: | CROSS FAMILY COUNSELING, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Nov 2017 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 16 Oct 2018 (6 years ago) |
| Document Number: | L17000244411 |
| FEI/EIN Number | 45-1556411 |
| Address: | 1101 Gulf Breeze Pkwy,, bldg 2, GULF BREEZE, FL, 32561, US |
| Mail Address: | 1101 Gulf Breeze Pkwy,, bldg 2, GULF BREEZE, FL, 32561, US |
| ZIP code: | 32561 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063934560 | 2017-07-17 | 2017-07-17 | 1710 MARSEILLE DR, GULF BREEZE, FL, 325639004, US | 913 GULF BREEZE PKWY STE 26A, GULF BREEZE, FL, 325614731, US | |||||||||||||||||
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| Phone | +1 850-323-0674 |
Authorized person
| Name | TIFFANY CROSS |
| Role | COUNSELOR/OWNER |
| Phone | 8503230674 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | PMH1508 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Hale & Doerr, LLC | Agent | 913 Gulf Breeze Pkwy, Gulf Breeze, FL, 32561 |
| Name | Role | Address |
|---|---|---|
| Cross Tiffany | Manager | 4965 Mason Calle Rd, Gulf Breeze, FL, 32561 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-10-19 | 1101 Gulf Breeze Pkwy,, bldg 2, ste d, GULF BREEZE, FL 32561 | No data |
| CHANGE OF MAILING ADDRESS | 2022-10-19 | 1101 Gulf Breeze Pkwy,, bldg 2, ste d, GULF BREEZE, FL 32561 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-09 | 913 Gulf Breeze Pkwy, 13, Gulf Breeze, FL 32561 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-04-20 | Hale & Doerr, LLC | No data |
| REINSTATEMENT | 2018-10-16 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-01-05 |
| ANNUAL REPORT | 2022-02-09 |
| ANNUAL REPORT | 2021-04-20 |
| ANNUAL REPORT | 2020-05-20 |
| ANNUAL REPORT | 2019-09-23 |
| REINSTATEMENT | 2018-10-16 |
| Florida Limited Liability | 2017-11-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
