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MODERN LIFE COUNSELING, LLC

Company Details

Entity Name: MODERN LIFE COUNSELING, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 31 Dec 2018 (6 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 25 Mar 2019 (6 years ago)
Document Number: L19000002981
FEI/EIN Number 83-3684812
Address: 205 S HOOVER BLVD, SUITE 204, TAMPA, FL 33609
Mail Address: 205 S HOOVER BLVD, SUITE 204, TAMPA, FL 33609
ZIP code: 33609
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790334407 2019-09-05 2019-09-05 13902 N DALE MABRY HWY, SUITE 230, TAMPA, FL, 336182428, US 13902 N DALE MABRY HWY, SUITE 240, TAMPA, FL, 336182428, US

Contacts

Phone +1 813-376-9700
Fax 8139363585

Authorized person

Name LISA SULLIVAN
Role OWNER
Phone 8133769700

Taxonomy

Taxonomy Code 106H00000X - Marriage & Family Therapist
Is Primary Yes

Agent

Name Role Address
SULLIVAN, LISA Agent 205 S. Hoover Blvd., Suite 204, Tampa, FL 33609

Manager

Name Role Address
SULLIVAN, LISA OTERO Manager 4609 W TENNYSON AVE, TAMPA, FL 33629

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-01-27 205 S. Hoover Blvd., Suite 204, Tampa, FL 33609 No data
CHANGE OF PRINCIPAL ADDRESS 2021-09-07 205 S HOOVER BLVD, SUITE 204, TAMPA, FL 33609 No data
CHANGE OF MAILING ADDRESS 2021-09-07 205 S HOOVER BLVD, SUITE 204, TAMPA, FL 33609 No data
LC AMENDMENT 2019-03-25 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-18
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-03-05
ANNUAL REPORT 2020-01-30
LC Amendment 2019-03-25
Florida Limited Liability 2018-12-31

Date of last update: 17 Jan 2025

Sources: Florida Department of State