| Entity Name: | ETHEREAL COUNSELING CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Jun 2020 (5 years ago) |
| Document Number: | L20000153536 |
| FEI/EIN Number | 85-2092839 |
| Address: | 10035 BENGAL FOX DR, JACKSONVILLE, FL, 32222, US |
| Mail Address: | 10035 BENGAL FOX DR, JACKSONVILLE, FL, 32222, US |
| ZIP code: | 32222 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164188496 | 2021-11-10 | 2023-07-24 | 10035 BENGAL FOX DR, JACKSONVILLE, FL, 322222895, US | 10035 BENGAL FOX DR, JACKSONVILLE, FL, 322222895, US | |||||||||||||||||
|
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| Phone | +1 904-515-3326 |
Authorized person
| Name | DANA WEISS |
| Role | CREDENTIALING SPECIALIST |
| Phone | 9047013076 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BADDOUR YOLLA | Agent | 10035 BENGAL FOX DR, JACKSONVILLE, FL, 32222 |
| Name | Role | Address |
|---|---|---|
| BADDOUR YOLLA | Authorized Representative | 10035 BENGAL FOX DR, JACKSONVILLE, FL, 32222 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-01-28 | BADDOUR, YOLLA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-28 |
| ANNUAL REPORT | 2023-01-05 |
| ANNUAL REPORT | 2022-03-21 |
| ANNUAL REPORT | 2021-04-23 |
| Florida Limited Liability | 2020-06-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
