| Entity Name: | CANOPY COUNSELING & CONSULTING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Jan 2020 (5 years ago) |
| Document Number: | L20000018857 |
| FEI/EIN Number | 84-4511222 |
| Address: | 2709 KILLARNEY WAY, SUITE 4, TALLAHASSEE, FL, 32309, US |
| Mail Address: | 2709 KILLARNEY WAY, SUITE 4, TALLAHASSEE, FL, 32309, US |
| ZIP code: | 32309 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861090995 | 2020-10-12 | 2020-10-12 | 2709-4 KILLARNEY WAY, TALLAHASSEE, FL, 32309, US | 2709-4 KILLARNEY WAY, TALLAHASSEE, FL, 32309, US | |||||||||||||
|
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| Phone | +1 850-443-3048 |
Authorized person
| Name | JACQUELINE SHIELDS |
| Role | LCSW |
| Phone | 8504433048 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Winn Jason | Agent | 2709-Suite 4 Killarney Way, Tallahassee, FL, 32309 |
| Name | Role | Address |
|---|---|---|
| Shields Jacqueline W | Auth | 2709-Suite 4 Killarney Way, Tallahassee, FL, 32309 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-08 | 2709 KILLARNEY WAY, SUITE 4, TALLAHASSEE, FL 32309 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-08 | 2709 KILLARNEY WAY, SUITE 4, TALLAHASSEE, FL 32309 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-04-08 | Winn, Jason | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-08 | 2709-Suite 4 Killarney Way, Tallahassee, FL 32309 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-01-12 |
| Florida Limited Liability | 2020-01-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
