| Entity Name: | PHASES OF HEALING, COUNSELING AND THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Aug 2019 (5 years ago) |
| Document Number: | L19000203942 |
| FEI/EIN Number | 842582615 |
| Address: | 340 PASEO REYES DRIVE, SAINT AUGUSTINE, FL, 32095, US |
| Mail Address: | 4435 Coastal Highway, SAINT AUGUSTINE, FL, 32084, US |
| ZIP code: | 32095 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467003079 | 2019-09-25 | 2021-06-02 | 4435 COASTAL HWY, SAINT AUGUSTINE, FL, 320841304, US | 290 PASEO REYES DR, SAINT AUGUSTINE, FL, 320958462, US | |||||||||||||
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| Phone | +1 904-347-0843 |
Authorized person
| Name | MRS. ANGELA MARIE FUSCO |
| Role | MANAGER |
| Phone | 9043470843 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FUSCO ANGELA M | Agent | 4435 Coastal Highway, SAINT AUGUSTINE, FL, 32084 |
| Name | Role | Address |
|---|---|---|
| FUSCO ANGELA M | Managing Member | 4435 Coastal Highway, SAINT AUGUSTINE, FL, 32084 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-10-25 | 340 PASEO REYES DRIVE, SAINT AUGUSTINE, FL 32095 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-10 | 340 PASEO REYES DRIVE, SAINT AUGUSTINE, FL 32095 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-10 | 4435 Coastal Highway, SAINT AUGUSTINE, FL 32084 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-03-21 |
| Florida Limited Liability | 2019-08-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
