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KELLY SAYERS COUNSELING SERVICES, LLC

Company Details

Entity Name: KELLY SAYERS COUNSELING SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 Aug 2018 (7 years ago)
Document Number: L18000187386
FEI/EIN Number 83-1463019
Address: 1416 PARK AVE, FERNANDINA BEACH, FL, 32034, US
Mail Address: 1416 PARK AVE, FERNANDINA BEACH, FL, 32034, US
ZIP code: 32034
County: Nassau
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225511280 2018-09-14 2018-09-14 861417 N HAMPTON CLUB WAY, FERNANDINA BEACH, FL, 320348705, US 1890 S 14TH ST STE 110, FERNANDINA BEACH, FL, 320344718, US

Contacts

Phone +1 609-709-4698
Phone +1 904-556-7242

Authorized person

Name KELLY SAYERS
Role OWNER
Phone 9046016107

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role Address
SAYERS KELLY A Agent 1416 PARK AVE, FERNANDINA BEACH, FL, 32034

Authorized Person

Name Role Address
SAYERS KELLY A Authorized Person 1416 PARK AVE, FERNANDINA BEACH, FL, 32034

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000023981 BY THE BEACH COUNSELING SERVICES ACTIVE 2020-02-24 2025-12-31 No data 1416 PARK AVE, SUITE 201, FERNANDINA BEACH, FL, 32034

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-04-14 1416 PARK AVE, STE 201, FERNANDINA BEACH, FL 32034 No data
CHANGE OF MAILING ADDRESS 2021-04-14 1416 PARK AVE, STE 201, FERNANDINA BEACH, FL 32034 No data
REGISTERED AGENT ADDRESS CHANGED 2021-04-14 1416 PARK AVE, STE 201, FERNANDINA BEACH, FL 32034 No data

Documents

Name Date
ANNUAL REPORT 2024-01-25
ANNUAL REPORT 2023-01-11
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-04-14
ANNUAL REPORT 2020-06-07
ANNUAL REPORT 2019-04-04
Florida Limited Liability 2018-08-06

Date of last update: 02 Feb 2025

Sources: Florida Department of State