| Entity Name: | CONSCIOUS CHANGE, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 May 2019 (6 years ago) |
| Document Number: | L19000141734 |
| FEI/EIN Number | 84-2106597 |
| Address: | 1626 Nightfall Drive, Clermont, FL, 34711, US |
| Mail Address: | 1626 NIGHTFALL DRIVE, CLERMONT, FL, 34711, US |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932729779 | 2020-04-22 | 2020-04-22 | 1626 NIGHTFALL DR, CLERMONT, FL, 347112762, US | 1626 NIGHTFALL DR, CLERMONT, FL, 347112762, US | |||||||||||||
|
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| Phone | +1 407-968-6723 |
Authorized person
| Name | SAMIA HUSNI |
| Role | LICENSED PSYCHOLOGIST, OWNER |
| Phone | 4079686723 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HUSNI SAMIA PH.D. | Agent | 1626 NIGHTFALL DRIVE, CLERMONT, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| HUSNI SAMIA PH.D. | Manager | 1626 NIGHTFALL DRIVE, CLERMONT, FL, 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-25 | 1626 NIGHTFALL DRIVE, CLERMONT, FL 34711 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-29 | 1626 Nightfall Drive, Clermont, FL 34711 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-07 |
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-01-25 |
| ANNUAL REPORT | 2020-01-29 |
| Florida Limited Liability | 2019-05-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
