| Entity Name: | 1LIFE COUNSELING & WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 29 Oct 2020 (4 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 16 Nov 2020 (4 years ago) |
| Document Number: | L20000344384 |
| FEI/EIN Number | 86-1332433 |
| Address: | 6005 COLLEGE PARKWAY, PENSACOLA, FL 32504 |
| Mail Address: | PO BOX 12525, PENSACOLA, FL 32591 |
| ZIP code: | 32504 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790370526 | 2021-03-03 | 2021-03-03 | PO BOX 12525, PENSACOLA, FL, 325912525, US | 182 N PALAFOX ST, PENSACOLA, FL, 325024839, US | |||||||||||||||||||
|
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| Phone | +1 850-331-1830 |
Authorized person
| Name | YOLONDA DUBOSE |
| Role | MEMBER/LCSW |
| Phone | 8503311830 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100023800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DUBOSE, YOLONDA | Agent | 6005 COLLEGE PARKWAY, PENSACOLA, FL 32504 |
| Name | Role | Address |
|---|---|---|
| DUBOSE, YOLONDA | Manager | 6005 COLLEGE PARKWAY, SUITE 4 PENSACOLA, FL 32504 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-24 | 6005 COLLEGE PARKWAY, PENSACOLA, FL 32504 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-24 | 6005 COLLEGE PARKWAY, PENSACOLA, FL 32504 | No data |
| LC NAME CHANGE | 2020-11-16 | 1LIFE COUNSELING & WELLNESS, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-05-01 |
| LC Name Change | 2020-11-16 |
| Florida Limited Liability | 2020-10-29 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
