| Entity Name: | CLAY COMMUNITY COUNSELING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Jul 2019 (6 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 25 Jan 2022 (3 years ago) |
| Document Number: | L19000174025 |
| FEI/EIN Number | 84-2429971 |
| Address: | 2497 COUNTY RD 220, MIDDLEBURG, FL 32068 |
| Mail Address: | 2027 Hawkeye Pl, Fleming Island, FL 32003 |
| ZIP code: | 32068 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285254599 | 2020-04-16 | 2020-04-16 | 1763 COVINGTON LN, FLEMING ISLAND, FL, 320033387, US | 2497 COUNTY ROAD 220, MIDDLEBURG, FL, 320686531, US | |||||||||||||||
|
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| Phone | +1 703-731-6352 |
| Phone | +1 904-801-5800 |
Authorized person
| Name | MRS. MICHELLE NICOLE FIALLO |
| Role | OWNER/COUNSELOR |
| Phone | 9048015800 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CLAY COMMUNITY COUNSELING, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| Fiallo, Michelle N | Manager | 2027 Hawkeye Pl, Fleming Island, FL 32003 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2022-01-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-25 | 2497 COUNTY RD 220, MIDDLEBURG, FL 32068 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-01-25 | Clay Community Counseling, LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-25 | 2027 Hawkeye Pl, Fleming Island, FL 32003 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-22 |
| ANNUAL REPORT | 2024-01-18 |
| ANNUAL REPORT | 2023-01-11 |
| REINSTATEMENT | 2022-01-25 |
| ANNUAL REPORT | 2020-01-25 |
| Florida Limited Liability | 2019-07-05 |
Date of last update: 16 Feb 2025
Sources: Florida Department of State
