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COMPASSIONATE COUNSELING OF TAMPA BAY, LLC

Company Details

Entity Name: COMPASSIONATE COUNSELING OF TAMPA BAY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 Aug 2020 (5 years ago)
Document Number: L20000236673
FEI/EIN Number 852569546
Address: 8403 SUNSTATE ST, TAMPA, FL, 33634, US
Mail Address: 8403 SUNSTATE ST, TAMPA, FL, 33634, US
ZIP code: 33634
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093327504 2020-08-18 2020-08-18 2702 S BEACH DR, TAMPA, FL, 336297503, US 2702 S BEACH DR, TAMPA, FL, 336297503, US

Contacts

Phone +1 727-418-1788

Authorized person

Name STEPHANIE BROADAWAY
Role THERAPIST
Phone 7274181788

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role Address
BROADAWAY STEPHANIE Agent 8403 SUNSTATE ST, TAMPA, FL, 33634

Authorized Member

Name Role Address
BROADAWAY STEPHANIE Authorized Member 8403 SUNSTATE ST, TAMPA, FL, 33634

Documents

Name Date
ANNUAL REPORT 2024-03-27
ANNUAL REPORT 2023-04-03
ANNUAL REPORT 2022-02-14
ANNUAL REPORT 2021-04-26
Florida Limited Liability 2020-08-05

Date of last update: 01 Feb 2025

Sources: Florida Department of State