| Entity Name: | INTEGRATIVE SOCIAL SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Jan 2020 (5 years ago) |
| Document Number: | L20000010119 |
| FEI/EIN Number | 84-4437524 |
| Address: | 2301 PARK AVE., 205, ORANGE PARK, FL, 32073 |
| Mail Address: | 543 Laurel Grove Lane, Orange Park, FL, 32073, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326674003 | 2020-03-13 | 2020-03-13 | 1085 ATLANTIC BLVD APT 13, ATLANTIC BEACH, FL, 322333341, US | 2301 PARK AVE STE 205, ORANGE PARK, FL, 320735558, US | |||||||||||||||||||||||
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| Phone | +1 904-834-1341 |
| Phone | +1 904-592-7298 |
Authorized person
| Name | THUYDY NGUYEN |
| Role | IMFT |
| Phone | 9048341341 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| Is Primary | No |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Malone James D | Agent | 543 LAUREL GROVE LANE, ORANGE PARK, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| Malone James D | Manager | 543 Laurel Grove Lane, Orange Park, FL, 32073 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000011829 | INTEGRATIVE COUNSELING SERVICES OF NEFL | ACTIVE | 2020-01-24 | 2025-12-31 | No data | 2301 PARK AVE., 205, ORANGE PARK, FL, 32073 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-09-20 | 2301 PARK AVE., 205, ORANGE PARK, FL 32073 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-09-20 | Malone, James Dallas | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| ANNUAL REPORT | 2023-03-08 |
| AMENDED ANNUAL REPORT | 2022-09-20 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-03-01 |
| Florida Limited Liability | 2020-01-03 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
