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CERTUS COUNSELING CENTER LLC

Company Details

Entity Name: CERTUS COUNSELING CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 21 Jan 2020 (5 years ago)
Document Number: L20000027123
FEI/EIN Number 84-4257644
Address: 18166 Parrot Rd, Weeki Wache, FL 34614, Weeki Wachee, FL, 34614, US
Mail Address: 18166 Parrot Rd, Weeki Wache, FL 34614, Weeki Wachee, FL, 34614, US
ZIP code: 34614
County: Hernando
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356964928 2020-05-18 2021-05-20 10491 HAWKS LANDING DR, LAND O LAKES, FL, 346380125, US 1046 W BUSCH BLVD STE 100B, TAMPA, FL, 336127714, US

Contacts

Phone +1 580-917-1379
Fax 7276454798
Phone +1 813-461-7500

Authorized person

Name NANCY ANN PENA
Role OWNER/PARTNER
Phone 8134617500

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role Address
PENA NANCY A Agent 18166 Parrot Rd, Weeki Wache, FL 34614, Weeki Wachee, FL, 34614

Authorized Member

Name Role Address
PENA CESAR M Authorized Member 10491 HAWKS LANDING DR, LAND O LAKES, FL, 34638
PENA NANCY A Authorized Member 10491 HAWKS LANDING DR, LAND O LAKES, FL, 34638

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-07 18166 Parrot Rd, Weeki Wache, FL 34614, Weeki Wachee, FL 34614 No data
CHANGE OF MAILING ADDRESS 2024-03-07 18166 Parrot Rd, Weeki Wache, FL 34614, Weeki Wachee, FL 34614 No data
REGISTERED AGENT ADDRESS CHANGED 2024-03-07 18166 Parrot Rd, Weeki Wache, FL 34614, Weeki Wachee, FL 34614 No data

Documents

Name Date
ANNUAL REPORT 2024-03-07
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-08-12
ANNUAL REPORT 2021-04-05
Florida Limited Liability 2020-01-21

Date of last update: 01 Feb 2025

Sources: Florida Department of State