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J CHURCHWELL COUNSELING, LLC

Company Details

Entity Name: J CHURCHWELL COUNSELING, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 23 Feb 2018 (7 years ago)
Document Number: L18000048603
FEI/EIN Number 82-4596077
Address: 2200 NORTH PONCE DE LEON BLVD., SUITE #3, ST. AUGUSTINE, FL 32084
Mail Address: 2200 NORTH PONCE DE LEON BLVD., SUITE #3, ST. AUGUSTINE, FL 32084
ZIP code: 32084
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922501493 2018-03-12 2024-11-07 2200 N PONCE DE LEON BLVD STE 3, ST AUGUSTINE, FL, 320842650, US 2200 N PONCE DE LEON BLVD STE 3, ST AUGUSTINE, FL, 320842650, US

Contacts

Phone +1 904-377-4200
Fax 9044858019

Authorized person

Name JILL YOERGER-CHURCHWELL
Role OWNER
Phone 9043774200

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role Address
YOERGER-CHURCHWELL, JILL A Agent 2200 NORTH PONCE DE LEON BLVD., SUITE #3, ST. AUGUSTINE, FL 32084

Owner

Name Role Address
YOERGER-CHURCHWELL, JILL A Owner 2200 NORTH PONCE DE LEON BLVD., SUITE #3 ST. AUGUSTINE, FL 32084

beneficiary

Name Role Address
Churchwell, George M beneficiary 1 Oak Tree Lane, St. Augustine, FL 32084

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2019-02-07 2200 NORTH PONCE DE LEON BLVD., SUITE #3, ST. AUGUSTINE, FL 32084 No data
REGISTERED AGENT ADDRESS CHANGED 2019-02-07 2200 NORTH PONCE DE LEON BLVD., SUITE #3, ST. AUGUSTINE, FL 32084 No data

Documents

Name Date
ANNUAL REPORT 2025-02-11
ANNUAL REPORT 2024-03-07
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-02-07
Florida Limited Liability 2018-02-23

Date of last update: 17 Feb 2025

Sources: Florida Department of State