| Entity Name: | REVIVE COUNSELING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Mar 2020 (5 years ago) |
| Document Number: | L20000087220 |
| FEI/EIN Number | 85-3999867 |
| Address: | 399 NW 2ND AVE, BOCA RATON, FL, 33432, US |
| Mail Address: | 10604 Innovation Way Apt 306, Port St. Lucie, FL, 34987, US |
| ZIP code: | 33432 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306515317 | 2021-09-13 | 2021-09-13 | 399 NW 2ND AVE STE 214, BOCA RATON, FL, 334323848, US | 399 NW 2ND AVE STE 214, BOCA RATON, FL, 334323848, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 561-843-2548 |
Authorized person
| Name | ARIANNA FERNANDEZ |
| Role | OWNER/THERAPIST |
| Phone | 9542796324 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ ARIANNA | Agent | 809 Delmar Way, Delray Beach, FL, 33483 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ ARIANNA | Manager | 10604 SW INNOVATION WAY APT 306, PORT ST. LUCIE, FL, 34987 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-06-11 | 399 NW 2ND AVE, SUITE 214, BOCA RATON, FL 33432 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-30 | 809 Delmar Way, Apt 306, Delray Beach, FL 33483 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-07-16 | 399 NW 2ND AVE, SUITE 214, BOCA RATON, FL 33432 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-02 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2021-04-20 |
| Florida Limited Liability | 2020-03-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
