| Entity Name: | REVIVE FAMILY COUNSELING, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 May 2018 (7 years ago) |
| Document Number: | L18000131020 |
| FEI/EIN Number | 83-0668440 |
| Address: | 8981 Daniels Center Drive, Suite 209, 209, FT. MYERS, FL 33912 |
| Mail Address: | 11689 Canopy Loop, FT. MYERS, FL 33913 |
| ZIP code: | 33912 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881358455 | 2021-10-28 | 2024-09-27 | 11689 CANOPY LOOP, FORT MYERS, FL, 339139458, US | 8981 DANIELS CENTER DR STE 209, FORT MYERS, FL, 339120308, US | |||||||||||||
|
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| Phone | +1 239-329-9264 |
Authorized person
| Name | MRS. EDITA HALL |
| Role | LMFT |
| Phone | 2393299264 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Hall, Edita | Agent | 11689 Canopy Loop, FORT MYERS, FL 33913 |
| Name | Role | Address |
|---|---|---|
| Hall, Edita | Manager | 11689 Canopy Loop, FT. MYERS, FL 33913 |
| Name | Role | Address |
|---|---|---|
| Hall, Luke Edward | Authorized Member | 8981 Daniels Center Drive, Suite 209 FT. MYERS, FL 33912 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-05 | 8981 Daniels Center Drive, Suite 209, 209, FT. MYERS, FL 33912 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-14 | 8981 Daniels Center Drive, Suite 209, 209, FT. MYERS, FL 33912 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-14 | 11689 Canopy Loop, FORT MYERS, FL 33913 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-03-11 | Hall, Edita | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-08-22 |
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-03-28 |
| ANNUAL REPORT | 2022-04-14 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-03-11 |
| ANNUAL REPORT | 2019-03-21 |
| Florida Limited Liability | 2018-05-25 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
