| Entity Name: | NEXUS BLUE WATER COUNSELING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 23 Apr 2019 (6 years ago) |
| Document Number: | L19000110485 |
| FEI/EIN Number | 83-4489638 |
| Address: | 100 S MILITARY TRAIL, 11, Deerfield Beach, FL 33442 |
| Mail Address: | 100 S MILITARY TRAIL, 11, Deerfield Beach, FL 33442 |
| ZIP code: | 33442 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528754785 | 2023-04-12 | 2023-04-12 | 100 S MILITARY TRL STE 11, DEERFIELD BEACH, FL, 334423031, US | 100 S MILITARY TRL STE 11, DEERFIELD BEACH, FL, 334423031, US | |||||||||||||||
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| Phone | +1 954-621-3896 |
| Fax | 8668151645 |
Authorized person
| Name | DANIELE TREVATHAN |
| Role | CLINICAL DIRECTOR |
| Phone | 9547156838 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Deliverance , Eva | Agent | 100 S MILITARY TRAIL, 11, Deerfield Beach, FL 33442 |
| Name | Role | Address |
|---|---|---|
| Deliverance, Eva | Owner | 100 S MILITARY TRAIL, 11 Deerfield Beach, FL 33442 |
| Name | Role | Address |
|---|---|---|
| Deliverance, Eva | Chief Executive Officer | 100 S MILITARY TRAIL, 11 Deerfield Beach, FL 33442 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-25 | 100 S MILITARY TRAIL, 11, Deerfield Beach, FL 33442 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-25 | 100 S MILITARY TRAIL, 11, Deerfield Beach, FL 33442 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-01-25 | Deliverance , Eva | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-25 | 100 S MILITARY TRAIL, 11, Deerfield Beach, FL 33442 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| AMENDED ANNUAL REPORT | 2023-08-28 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-07-05 |
| AMENDED ANNUAL REPORT | 2021-06-09 |
| ANNUAL REPORT | 2021-01-25 |
| ANNUAL REPORT | 2020-06-23 |
| Florida Limited Liability | 2019-04-23 |
Date of last update: 16 Feb 2025
Sources: Florida Department of State
