| Entity Name: | ORCHID SOUL WELLNESS & COUNSELING SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Apr 2019 (6 years ago) |
| Document Number: | L19000113676 |
| FEI/EIN Number | 84-1753225 |
| Address: | 3733 University Boulevard West, #212G, Jacksonville, FL, 32217, US |
| Mail Address: | 3733 University Boulevard West, Jacksonville, FL, 32217, US |
| ZIP code: | 32217 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750071478 | 2023-05-08 | 2023-05-08 | 3733 UNIVERSITY BLVD W STE 212G, JACKSONVILLE, FL, 322172155, US | 3733 UNIVERSITY BLVD W STE 212G, JACKSONVILLE, FL, 322172155, US | |||||||||||||
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| Phone | +1 904-343-5008 |
Authorized person
| Name | MRS. AISHA GORDON |
| Role | OWNER/THERAPIST |
| Phone | 3364078213 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GORDON AISHA N | Agent | 4142 BRIARFOREST RD W, JACKSONVILLE, FL, 32277 |
| Name | Role | Address |
|---|---|---|
| Gordon Aisha N | Chief Executive Officer | 4142 Briarforest Rd W, Jacksonville, FL, 32277 |
| Name | Role | Address |
|---|---|---|
| Gordon Kendrick | Auth | 4142 Briar Forest Road West, Jacksonville, FL, 32277 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-30 | 3733 University Boulevard West, #212G, Jacksonville, FL 32217 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-05-01 | 3733 University Boulevard West, #212G, Jacksonville, FL 32217 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-06-30 |
| Florida Limited Liability | 2019-04-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
