| Entity Name: | FIRST CHOICE COUNSELING & WELLNESS CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Feb 2019 (6 years ago) |
| Document Number: | L19000038877 |
| FEI/EIN Number | 83-3752980 |
| Address: | 13377 N 56th St, Tampa, FL, 33617, US |
| Mail Address: | 13377 N 56th St, Tampa, FL, 33617, US |
| ZIP code: | 33617 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639729650 | 2019-09-12 | 2022-10-18 | 13377 N 56TH ST, TAMPA, FL, 336171161, US | 13377 N 56TH ST, TAMPA, FL, 336171161, US | |||||||||||||||||
|
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| Phone | +1 813-720-5225 |
Authorized person
| Name | KELVIN CHOICE |
| Role | ADMINISTRATIVE ASSISTANT |
| Phone | 2157401912 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CHOICE KISHA | Agent | 13377 N 56th St, Tampa, FL, 33617 |
| Name | Role | Address |
|---|---|---|
| CHOICE KISHA | Manager | 13377 N 56th St, Tampa, FL, 33617 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000048588 | REVITA | ACTIVE | 2023-04-17 | 2028-12-31 | No data | 13377 N 56TH ST, TAMPA, FL, 33617 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-01-25 | 13377 N 56th St, Tampa, FL 33617 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-09 | 13377 N 56th St, Tampa, FL 33617 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-09 | 13377 N 56th St, Tampa, FL 33617 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-07-12 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-02-09 |
| ANNUAL REPORT | 2020-03-23 |
| Florida Limited Liability | 2019-02-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
