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CORNERSTONE COUNSELING AND WELLNESS CENTER, LLC.

Company Details

Entity Name: CORNERSTONE COUNSELING AND WELLNESS CENTER, LLC.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 19 Jul 2018 (7 years ago)
Date of dissolution: 27 Sep 2019 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (5 years ago)
Document Number: L18000174665
Mail Address: 5170 ANNIE RUTH STREET, MILTON, FL 32570
Address: 4286 WOODBINE ROAD, UNIT A, PACE, FL 32571
ZIP code: 32571
County: Santa Rosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356829386 2018-08-01 2018-08-01 5170 ANNIE RUTH ST, MILTON, FL, 325708153, US 4286 WOODBINE RD STE A, PACE, FL, 325718770, US

Contacts

Phone +1 850-259-9501

Authorized person

Name HOWLAND ELLIS
Role AUTHORIZED REPRESENTATIVE
Phone 8502599501

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
State FL
Is Primary Yes

Agent

Name Role Address
ELLIS, HOWLAND H Agent 5170 ANNIE RUTH STREET, MILTON, FL 32570

Manager

Name Role Address
ELLIS, AMY C Manager 5170 ANNIE RUTH STREET, MILTON, FL 32570
HUGHES, KIMBERLY Manager 204 ADAMS DRIVE, CRESTVIEW, FL 32536

Authorized Representative

Name Role Address
ELLIS, HOWLAND H Authorized Representative 5170 ANNIE RUTH STREET, MILTON, FL 32570

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data

Documents

Name Date
Florida Limited Liability 2018-07-19

Date of last update: 17 Jan 2025

Sources: Florida Department of State