| Entity Name: | GENESIS CLINICAL COUNSELING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 Mar 2018 (7 years ago) |
| Document Number: | L18000078699 |
| FEI/EIN Number | 82-5265133 |
| Address: | 2255 Dunn Ave, #206, JACKSONVILLE, FL 32218 |
| Mail Address: | 3736 VERDE GARDENS CIRCLE, JACKSONVILLE, FL 32218 |
| ZIP code: | 32218 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649869876 | 2021-01-12 | 2021-01-12 | 2255 DUNN AVE STE 206, JACKSONVILLE, FL, 322184739, US | 2255 DUNN AVE STE 206, JACKSONVILLE, FL, 322184739, US | |||||||||||||||||||||||
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| Phone | +1 904-201-9658 |
| Fax | 8662708565 |
Authorized person
| Name | TAMARA SORRYE |
| Role | OWNER/THERAPIST |
| Phone | 9042195560 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Sorrye, Tamara Nicole | Agent | 3736 VERDE GARDENS CIRCLE, JACKSONVILLE, FL 32218 |
| Name | Role | Address |
|---|---|---|
| SORRYE, TAMARA N | Owner | 3736 VERDE GARDENS CIRCLE, JACKSONVILLE, FL 32218 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-03 | 2255 Dunn Ave, #206, JACKSONVILLE, FL 32218 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-03-15 | Sorrye, Tamara Nicole | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-15 | 3736 VERDE GARDENS CIRCLE, JACKSONVILLE, FL 32218 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-05-02 |
| ANNUAL REPORT | 2022-03-22 |
| ANNUAL REPORT | 2021-03-30 |
| ANNUAL REPORT | 2020-06-03 |
| ANNUAL REPORT | 2019-03-15 |
| Florida Limited Liability | 2018-03-27 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
