| Entity Name: | ESSENTIAL COUNSELING SERVICES LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 Nov 2020 (4 years ago) |
| Document Number: | L20000354457 |
| FEI/EIN Number | 85-4021663 |
| Address: | 4421 NW 39th Avenue, building 3, GAINESVILLE, FL 32606 |
| Mail Address: | 3430 NW 37th Ave, GAINESVILLE, FL 32605 |
| ZIP code: | 32606 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275121121 | 2021-01-06 | 2021-01-06 | 11647 NW 13TH LN, GAINESVILLE, FL, 326060427, US | 4421 NW 39TH AVE STE 3, GAINESVILLE, FL, 326067221, US | |||||||||||||||||||||||||||||
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| Phone | +1 352-318-7983 |
| Phone | +1 352-380-0209 |
| Fax | 3523800209 |
Authorized person
| Name | MRS. TRACEY TOSKES KONOPKA |
| Role | LICENSED MENTAL HEALTH COUNSELOR |
| Phone | 3523187983 |
Taxonomy
| Taxonomy Code | 101Y00000X - Counselor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MENTAL HEALTH LICENSE |
| Number | MH12169 |
| State | FL |
| Issuer | INSURANCE COMPANY |
| Number | 1932333127 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KONOPKA, TRACEY T | Agent | 3430 NW 37th Ave, GAINESVILLE, FL 32605 |
| Name | Role | Address |
|---|---|---|
| KONOPKA, TRACEY T | Authorized Member | 4421 NW 39TH AVENUE, BUILDING 3, GAINESVILLE, FL 32606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-09 | 3430 NW 37th Ave, GAINESVILLE, FL 32605 | No data |
| CHANGE OF MAILING ADDRESS | 2022-09-30 | 4421 NW 39th Avenue, building 3, GAINESVILLE, FL 32606 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-12-11 | 4421 NW 39th Avenue, building 3, GAINESVILLE, FL 32606 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-29 |
| ANNUAL REPORT | 2023-02-09 |
| ANNUAL REPORT | 2022-04-09 |
| ANNUAL REPORT | 2021-04-07 |
| Florida Limited Liability | 2020-11-09 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
