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THE COUNSELING & WELLNESS BOUTIQUE LLC

Company Details

Entity Name: THE COUNSELING & WELLNESS BOUTIQUE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 Apr 2018 (7 years ago)
Document Number: L18000105266
FEI/EIN Number 825387620
Address: 1503 S US HWY 301, TAMPA, FL, 33619, US
Mail Address: 11705 BOYETTE RD., #248, RIVERVIEW, FL, 33569, US
ZIP code: 33619
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992294375 2018-05-01 2019-08-30 11705 BOYETTE RD # 248, RIVERVIEW, FL, 335695533, US 1503 S US HIGHWAY 301 STE E16, TAMPA, FL, 336195126, US

Contacts

Phone +1 813-591-4868
Fax 8132792551

Authorized person

Name MRS. TAINA THORPE
Role CLINICAL DIRECTOR
Phone 8135914868

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role Address
THORPE TAINA M Agent 11705 BOYETTE RD., RIVERVIEW, FL, 33569

Authorized Member

Name Role Address
THORPE TAINA M Authorized Member 11705 BOYETTE RD. #248, RIVERVIEW, FL, 33569

Authorized Representative

Name Role Address
THORPE BREZHNEV D Authorized Representative 11705 BOYETTE RD. #248, RIVERVIEW, FL, 33569

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-01-14 11705 BOYETTE RD., #248, RIVERVIEW, FL 33569 No data
CHANGE OF PRINCIPAL ADDRESS 2020-02-04 1503 S US HWY 301, #E16, TAMPA, FL 33619 No data

Documents

Name Date
ANNUAL REPORT 2025-01-14
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-03-02
ANNUAL REPORT 2022-03-11
ANNUAL REPORT 2021-03-15
ANNUAL REPORT 2020-02-04
ANNUAL REPORT 2019-02-11
Florida Limited Liability 2018-04-26

Date of last update: 02 Feb 2025

Sources: Florida Department of State