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CLARKE COUNSELING & PSYCHOLOGICAL SERVICES LLC - Florida Company Profile

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Company Details

Entity Name: CLARKE COUNSELING & PSYCHOLOGICAL SERVICES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Nov 2018 (7 years ago)
Document Number: L18000269188
FEI/EIN Number 83-2493572
Address: 710 OAKFIELD DR, SUITE 153, BRANDON, FL, 33511
Mail Address: 710 OAKFIELD DR, SUITE 153, BRANDON, FL, 33511
ZIP code: 33511
City: Brandon
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CLARKE NICKEISHA Manager 710 OAKFIELD DR SUITE 153, BRANDON, FL, 33511
Clarke Gregory Director 710 OAKFIELD DR, BRANDON, FL, 33511
WOOLFSON ELIHU Agent 1104 NIKKI VIEW DR, BRANDON, FL, 33511

National Provider Identifier

NPI Number:
1063054310

Authorized Person:

Name:
NICKEISHA K CLARKE
Role:
PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
103TB0200X - Cognitive & Behavioral Psychologist
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Fax:
8136498085

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000135600 EMPOWER TO CHANGE ACTIVE 2023-11-04 2028-12-31 - 710 OAKFIELD DR., ST 153, BRANDON, FL, 33511

Documents

Name Date
ANNUAL REPORT 2024-03-11
ANNUAL REPORT 2023-04-12
ANNUAL REPORT 2022-04-03
ANNUAL REPORT 2021-02-21
ANNUAL REPORT 2020-03-17
Florida Limited Liability 2018-11-19

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Date of last update: 03 Aug 2025

Sources: Florida Department of State