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GREATER GAINESVILLE COUNSELING & WELLNESS CENTER, LLC

Company Details

Entity Name: GREATER GAINESVILLE COUNSELING & WELLNESS CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Aug 2019 (5 years ago)
Document Number: L19000212543
FEI/EIN Number 84-2873456
Address: 4130 NW 37TH PLACE, SUITE B, OFFICE 1, GAINESVILLE, FL, 32606
Mail Address: 4130 NW 37TH PLACE, SUITE B, OFFICE 1, GAINESVILLE, FL, 32606
ZIP code: 32606
County: Alachua
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992353999 2019-09-03 2019-09-03 4130 NW 37TH PL STE BOFFICE1, GAINESVILLE, FL, 326068152, US 4130 NW 37TH PL STE BOFFICE1, GAINESVILLE, FL, 326068152, US

Contacts

Phone +1 352-234-6712
Phone +1 352-359-5345

Authorized person

Name DR. ROBERT S. MERRELL
Role MEMBER
Phone 3522346712

Taxonomy

Taxonomy Code 103TC0700X - Clinical Psychologist
Is Primary Yes

Agent

Name Role Address
MERRELL ROBERT S Agent 4130 NW 37TH PLACE, GAINESVILLE, FL, 32606

Authorized Representative

Name Role Address
MERRELL ROBERT S Authorized Representative 4130 NW 37TH PLACE, SUITE B, OFFICE 1, GAINESVILLE, FL, 32606

Documents

Name Date
ANNUAL REPORT 2024-04-03
ANNUAL REPORT 2023-04-17
ANNUAL REPORT 2022-04-12
ANNUAL REPORT 2021-04-16
ANNUAL REPORT 2020-06-22
Florida Limited Liability 2019-08-20

Date of last update: 01 Feb 2025

Sources: Florida Department of State