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LIVING STREAMS COUNSELING LLC

Company Details

Entity Name: LIVING STREAMS COUNSELING LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 30 Jan 2018 (7 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 07 Oct 2019 (5 years ago)
Document Number: L18000026771
FEI/EIN Number 26-4366997
Address: 2290 10th Avenue N, Suite 404, Lake Worth, FL 33461
Mail Address: 2290 10th Avenue N, Suite 404, Lake Worth, FL 33461
ZIP code: 33461
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619467222 2018-05-18 2023-09-25 2290 10TH AVE N STE 404, LAKE WORTH, FL, 334616618, US 2290 10TH AVE N STE 404, LAKE WORTH, FL, 334616618, US

Contacts

Phone +1 561-704-3207
Fax 5614699390

Authorized person

Name MR. RAFAEL D ACOSTA
Role LICENSED MENTAL HEALTH COUNSELOR
Phone 5617043207

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes
Taxonomy Code 305S00000X - Point of Service
State FL
Is Primary No

Agent

Name Role Address
ACOSTA, RAFAEL, DR. Agent 2290 10th Avenue N, Suite 404, Lake Worth, FL 33461

Manager

Name Role Address
ACOSTA, RAFAEL, DR. Manager 2290 10th Avenue N, Suite 404 Lake Worth, FL 33461

Authorized Representative

Name Role Address
Acosta, Beth, Dr. Authorized Representative 2290 10th Avenue N, Suite 404 Lake Worth, FL 33461

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-05-01 2290 10th Avenue N, Suite 404, Lake Worth, FL 33461 No data
CHANGE OF MAILING ADDRESS 2022-05-01 2290 10th Avenue N, Suite 404, Lake Worth, FL 33461 No data
REGISTERED AGENT ADDRESS CHANGED 2022-05-01 2290 10th Avenue N, Suite 404, Lake Worth, FL 33461 No data
REGISTERED AGENT NAME CHANGED 2021-04-26 ACOSTA, RAFAEL, DR. No data
REINSTATEMENT 2019-10-07 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-03-31
ANNUAL REPORT 2022-05-01
ANNUAL REPORT 2021-04-26
ANNUAL REPORT 2020-04-02
REINSTATEMENT 2019-10-07
Florida Limited Liability 2018-01-30

Date of last update: 17 Feb 2025

Sources: Florida Department of State