| Entity Name: | COFFEE WITH JANE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 Jun 2019 (6 years ago) |
| Document Number: | L19000159556 |
| FEI/EIN Number | 84-2243510 |
| Address: | 4591 East Highway 20, Suite 202-I, Niceville, FL 32578 |
| Mail Address: | 4591 East Highway 20, Suite 202-I, Niceville, FL 32578 |
| ZIP code: | 32578 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942921366 | 2022-09-05 | 2022-09-05 | 4516 E HIGHWAY 20 # 146, NICEVILLE, FL, 325789755, US | 4591 E HIGHWAY 20 STE 202I, NICEVILLE, FL, 325788845, US | |||||||||||||||||||||||
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| Phone | +1 850-333-6828 |
| Fax | 8502549837 |
Authorized person
| Name | MS. JANE ELLEN DAVIS |
| Role | OWNER |
| Phone | 8503336828 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Davis, Jane Ellen | Agent | 19494 US Highway 331 S, Freeport, FL 32439 |
| Name | Role | Address |
|---|---|---|
| Davis, Jane Ellen | Manager | 19494 US Highway 331 S, Freeport, FL 32439 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000067455 | BAY BREEZE COUNSELING, PLLC | ACTIVE | 2022-06-01 | 2027-12-31 | No data | 16400 US HIGHWAY 331 S, SUITE B2 #296, FREEPORT, FL, 32439 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-25 | 4591 East Highway 20, Suite 202-I, Niceville, FL 32578 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-25 | 4591 East Highway 20, Suite 202-I, Niceville, FL 32578 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-05-08 | Davis, Jane Ellen | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-05-08 | 19494 US Highway 331 S, Freeport, FL 32439 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-03-22 |
| ANNUAL REPORT | 2020-05-08 |
| Florida Limited Liability | 2019-06-17 |
Date of last update: 16 Feb 2025
Sources: Florida Department of State
