| Entity Name: | THE AUTHENTIC SELF COUNSELING GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Jul 2018 (7 years ago) |
| Document Number: | L18000169728 |
| FEI/EIN Number | 83-1219467 |
| Address: | 8540 SW 27th St, Miami, FL, 33155, US |
| Mail Address: | 8540 SW 27th St, Miami, FL, 33155, US |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558918623 | 2019-08-22 | 2019-08-22 | 300 GRANELLO AVE APT 561, CORAL GABLES, FL, 331461945, US | 3150 SW 38TH AVE STE 1320-A, CORAL GABLES, FL, 331461531, US | |||||||||||||||||
|
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| Phone | +1 305-929-3598 |
Authorized person
| Name | DR. DANIEL SHERIDAN |
| Role | LICENSED PSYCHOLOGIST |
| Phone | 3059293598 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI NUMBER |
| Number | 1275029548 |
| Name | Role | Address |
|---|---|---|
| SHERIDAN DANIEL DR. | Agent | 8540 SW 27th St, Miami, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| SHERIDAN DANIEL | Manager | 8540 SW 27th St, Miami, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| MARRERO HAROLD | Authorized Member | 8540 SW 27th St, Miami, FL, 33155 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-04 | 8540 SW 27th St, Miami, FL 33155 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-04 | 8540 SW 27th St, Miami, FL 33155 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-04 | 8540 SW 27th St, Miami, FL 33155 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-02-05 |
| ANNUAL REPORT | 2022-02-04 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-02-12 |
| Florida Limited Liability | 2018-07-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
