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WALK TALL COUNSELING CENTER, LLC

Company Details

Entity Name: WALK TALL COUNSELING CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 09 Mar 2020 (5 years ago)
Last Event: LC STMNT CORR/NC
Event Date Filed: 03 Apr 2020 (5 years ago)
Document Number: L20000075813
FEI/EIN Number 85-0578070
Address: 150 S PINE ISLAND RD, STE 300, PLANTATION, FL 33324
Mail Address: 6919 W BROWARD BLVD, SUITE 151, PLANTATION, FL 33317
ZIP code: 33324
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1497382766 2020-03-25 2020-04-15 6919 W BROWARD BLVD STE 151, PLANTATION, FL, 333172902, US 150 S PINE ISLAND RD STE 300, PLANTATION, FL, 333242665, US

Contacts

Phone +1 570-540-3465

Authorized person

Name KRYSTAL FARNUM
Role OWNER
Phone 5705403465

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role Address
FARNUM, KRYSTAL Agent 6919 W BROWARD BLVD, SUITE 151, PLANTATION, FL 33317

Manager

Name Role Address
FARNUM, KRYSTAL Manager 6919 W. BROWARD BLVD, STE 151, PLANTATION, FL 33317

Events

Event Type Filed Date Value Description
LC STMNT CORR/NC 2020-04-03 WALK TALL COUNSELING CENTER, LLC No data

Documents

Name Date
ANNUAL REPORT 2024-04-11
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-04-19
ANNUAL REPORT 2021-02-07
CORLCSTCNC 2020-04-03
Florida Limited Liability 2020-03-09

Date of last update: 16 Jan 2025

Sources: Florida Department of State