| Entity Name: | DAVID TOLBERT LMHC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 03 Jan 2018 (7 years ago) |
| Document Number: | L18000002562 |
| FEI/EIN Number | 82-3863779 |
| Address: | 302 3RD STREET, SUITE 1, NEPTUNE BEACH, FL 32266 |
| Mail Address: | 302 3RD STREET, SUITE 1, NEPTUNE BEACH, FL 32266 |
| ZIP code: | 32266 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609366558 | 2018-05-16 | 2018-05-16 | 436 SEAGATE AVE, NEPTUNE BEACH, FL, 322664871, US | 302 3RD ST STE 1, NEPTUNE BEACH, FL, 322665139, US | |||||||||||||||||||
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| Phone | +1 904-465-4503 |
| Fax | 9042121117 |
Authorized person
| Name | DAVID TOLBERT |
| Role | OWNER |
| Phone | 9044654503 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| License Number | MH8992 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| AG ONE FINANCIAL INC | Agent |
| Name | Role | Address |
|---|---|---|
| TOLBERT, DAVID | Member | 302 3RD STREET, SUITE 1 NEPTUNE BEACH, FL 32266 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000097369 | LIVING WELL THERAPY AND COACHING | ACTIVE | 2019-09-05 | 2029-12-31 | No data | 436 SEAGATE AVE, NEPTUNE BEACH, FL, 32266 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-03-01 | 302 3RD STREET, SUITE 1, NEPTUNE BEACH, FL 32266 | No data |
| CHANGE OF MAILING ADDRESS | 2025-03-01 | 302 3RD STREET, SUITE 1, NEPTUNE BEACH, FL 32266 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-03-12 |
| ANNUAL REPORT | 2019-03-13 |
| Florida Limited Liability | 2018-01-03 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
