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