| Entity Name: | COLLABORATIVE COUNSELING ASSOCIATES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 May 2019 (6 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L19000140750 |
| Address: | 1705 COPPERFIELD CIR., TALLAHASSEE, FL, 32312, US |
| Mail Address: | 1705 COPPERFIELD CIR., TALLAHASSEE, FL, 32312, US |
| ZIP code: | 32312 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326687070 | 2019-12-29 | 2019-12-29 | 1705 COPPERFIELD CIR, TALLAHASSEE, FL, 323123755, US | 2834 REMINGTON GREEN CIR STE 104, TALLAHASSEE, FL, 323083760, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 850-296-6811 |
Authorized person
| Name | LISA JACKSON |
| Role | OWNER |
| Phone | 8502966811 |
Taxonomy
| Taxonomy Code | 104100000X - Social Worker |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Taxonomy Code | 1041S0200X - School Social Worker |
| Is Primary | No |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| JACKSON LISA A | Authorized Member | 1705 COPPERFIELD CIR., TALLAHASSEE, FL, 32312 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-03 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2019-05-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
