| Entity Name: | WILLOW TREE COUNSELING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Jan 2019 (6 years ago) |
| Document Number: | L19000028242 |
| FEI/EIN Number | 83-3365721 |
| Address: | 4300 Bayou Blvd, PENSACOLA, FL, 32503, US |
| Mail Address: | 3620 GOYA CT, PENSACOLA, FL, 32504 |
| ZIP code: | 32503 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750848784 | 2019-02-26 | 2021-06-26 | 3620 GOYA CT, PENSACOLA, FL, 325044522, US | 15 W LA RUA ST, PENSACOLA, FL, 325013933, US | |||||||||||||||||||||
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| Phone | +1 850-206-4845 |
| Fax | 8504384649 |
| Fax | 8506653288 |
Authorized person
| Name | MS. DONNA WATSON |
| Role | OWNER/MANAGER |
| Phone | 8502064845 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| WATSON DONNA LLCSW | Agent | 3620 GOYA CT, PENSACOLA, FL, 32504 |
| Name | Role | Address |
|---|---|---|
| WATSON DONNA LLCSW | Authorized Representative | 3620 GOYA CT, PENSACOLA, FL, 32504 |
| Name | Role | Address |
|---|---|---|
| WATSON EDWIN P | Authorized Person | 3620 GOYA CT, PENSACOLA, FL, 32504 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-10 | 4300 Bayou Blvd, Suite 27, PENSACOLA, FL 32503 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-04-09 |
| ANNUAL REPORT | 2021-04-11 |
| ANNUAL REPORT | 2020-03-22 |
| Florida Limited Liability | 2019-01-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
