| Entity Name: | SACRED SPACES COUNSELING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Jan 2020 (5 years ago) |
| Document Number: | L20000032321 |
| FEI/EIN Number | 84-4663996 |
| Address: | 8825 Perimeter Park, Jax, FL, 32216, US |
| Mail Address: | 8825 Perimeter Park, Suite 601, JACKSONVILLE, FL, 32216, US |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093309361 | 2021-02-26 | 2021-02-26 | 8825 PERIMETER PARK BLVD STE 601, JACKSONVILLE, FL, 322161122, US | 8825 PERIMETER PARK BLVD STE 601, JACKSONVILLE, FL, 322161122, US | |||||||||||||||
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| Phone | +1 904-885-0724 |
| Fax | 9044093464 |
Authorized person
| Name | TERESA ANN MOORE |
| Role | OWNER/THERAPIST |
| Phone | 9048850724 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOORE TERESA A | Agent | 8825 Perimeter Park, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| MOORE TERESA A | Manager | 8825 Perimeter Park, JACKSONVILLE, FL, 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-04-18 | 8825 Perimeter Park, Jax, FL 32216 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-18 | 8825 Perimeter Park, JACKSONVILLE, FL 32216 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-12 | 8825 Perimeter Park, Jax, FL 32216 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-04-18 |
| ANNUAL REPORT | 2021-03-12 |
| Florida Limited Liability | 2020-01-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
