| Entity Name: | MAITRI COUNSELING SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 May 2018 (7 years ago) |
| Document Number: | L18000110989 |
| FEI/EIN Number | 83-0571356 |
| Address: | 6254 Seven Springs Blvd, B, Greenacres, FL 33463 |
| Mail Address: | 6254 Seven Springs Blvd, B, Greenacres, FL 33463 |
| ZIP code: | 33463 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265922017 | 2018-05-17 | 2024-08-31 | 5700 S UTOPIA TER, INVERNESS, FL, 344528568, US | 101 S OSCEOLA AVE, INVERNESS, FL, 344524727, US | |||||||||||||||||||||
|
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| Phone | +1 561-202-5532 |
Authorized person
| Name | MS. HEATHER ANN CHAMPION |
| Role | OWNER |
| Phone | 5612318860 |
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 |
|---|---|---|
| CHAMPION, HEATHER A | Agent | 6254 Seven Springs Blvd, B, Greenacres, FL 33463 |
| Name | Role | Address |
|---|---|---|
| CHAMPION, HEATHER A | Manager | 6254 Seven Springs Blvd, B Greenacres, FL 33463 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-27 | 6254 Seven Springs Blvd, B, Greenacres, FL 33463 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-27 | 6254 Seven Springs Blvd, B, Greenacres, FL 33463 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-27 | 6254 Seven Springs Blvd, B, Greenacres, FL 33463 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-03-30 |
| ANNUAL REPORT | 2020-06-27 |
| ANNUAL REPORT | 2019-04-29 |
| Florida Limited Liability | 2018-05-02 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
