| Entity Name: | METAMORPHOSIS COUNSELING AND WELLNESS SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Apr 2018 (7 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 24 Apr 2018 (7 years ago) |
| Document Number: | L18000084842 |
| FEI/EIN Number | 46-5696380 |
| Address: | 665 Dillard Dr SE, Palm Bay, FL 32909 |
| Mail Address: | PO BOX 100156, PALM BAY, FL 32910-0156 |
| ZIP code: | 32909 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700297181 | 2014-05-19 | 2023-10-02 | PO BOX 100156, PALM BAY, FL, 329100156, US | 665 DILLARD DR SE, VIRTUAL/ONLINE ONLY, PALM BAY, FL, 32909, US | |||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 321-272-5996 |
| Fax | 3214738874 |
Authorized person
| Name | ANNETTE MCDANIEL |
| Role | CEO/COUNSELOR |
| Phone | 3212725996 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH15855 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 101YP2500X - Professional Counselor |
| License Number | 69138 |
| State | TX |
| Is Primary | No |
| Taxonomy Code | 101YP2500X - Professional Counselor |
| License Number | 7677 |
| State | NC |
| Is Primary | No |
| Taxonomy Code | 225700000X - Massage Therapist |
| License Number | MA86130 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MCDANIEL, ANNETTE | Agent | 665 DILLARD DR SE, PALM BAY, FL 32909 |
| Name | Role | Address |
|---|---|---|
| MCDANIEL, ANNETTE | Manager | 665 DILLARD DR SE, PALM BAY, FL 32909 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-05 | 665 Dillard Dr SE, Palm Bay, FL 32909 | No data |
| CHANGE OF MAILING ADDRESS | 2019-01-28 | 665 Dillard Dr SE, Palm Bay, FL 32909 | No data |
| LC AMENDMENT AND NAME CHANGE | 2018-04-24 | METAMORPHOSIS COUNSELING AND WELLNESS SERVICES LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-04-03 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-01-05 |
| ANNUAL REPORT | 2020-01-06 |
| ANNUAL REPORT | 2019-01-28 |
| LC Amendment and Name Change | 2018-04-24 |
| Florida Limited Liability | 2018-04-04 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
