| Entity Name: | CREATIVECOUNSELING LIVING & WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 20 Apr 2018 (7 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L18000099897 |
| FEI/EIN Number | 82-5307404 |
| Address: | 877 W Minneola Ave., #120946, Clermont, FL 34712 |
| Mail Address: | 877 W Minneola Ave., #120946, Clermont, FL 34712 |
| ZIP code: | 34712 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306401906 | 2019-05-08 | 2022-07-06 | 877 W MINNEOLA AVE UNIT 120946, CLERMONT, FL, 347127039, US | 1964 HOWELL BRANCH RD STE 110, WINTER PARK, FL, 327921042, US | |||||||||||||||||||||||||||||||
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| Phone | +1 407-951-4207 |
| Fax | 3213482861 |
Authorized person
| Name | DOMINIQUE MICHELLE BATTLE |
| Role | FOUNDER & CEO |
| Phone | 4079514207 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| 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 |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BATTLE, DOMINIQUE M | Agent | 877 W Minneola Ave., #120946, Clermont, FL 34712 |
| Name | Role | Address |
|---|---|---|
| BATTLE, DOMINIQUE M | Authorized Representative | 877 W Minneola Ave., #120946 Clermont, FL 34712 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000102826 | GUIDED STEPS COUNSELING AND CONSULTING, LLC | EXPIRED | 2019-09-19 | 2024-12-31 | No data | 330 W BEARSS AVE., SUITE B, TAMPA, FL, 33613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-30 | 877 W Minneola Ave., #120946, Clermont, FL 34712 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-30 | 877 W Minneola Ave., #120946, Clermont, FL 34712 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-30 | 877 W Minneola Ave., #120946, Clermont, FL 34712 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-08-17 | BATTLE, DOMINIQUE M | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-27 |
| Florida Limited Liability | 2018-04-20 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
