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IN BLOOM COUNSELING AND WELLNESS, LLC

Company Details

Entity Name: IN BLOOM COUNSELING AND WELLNESS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 02 Apr 2021 (4 years ago)
Document Number: L21000153939
FEI/EIN Number 83-3468381
Address: 11885 FICTION AVENUE, ORLANDO, FL, 32832
Mail Address: 11885 FICTION AVENUE, ORLANDO, FL, 32832
ZIP code: 32832
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598347692 2021-04-27 2021-04-27 11885 FICTION AVE, ORLANDO, FL, 328325120, US 7157 NARCOOSSEE RD # 1016, ORLANDO, FL, 328225533, US

Contacts

Phone +1 321-465-2271
Phone +1 321-718-8008

Authorized person

Name MRS. SUELY RIVERA
Role OWNER
Phone 3214652271

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role Address
RIVERA SUELY Agent 11185 FICTION AVENUE, ORLANDO, FL, 32832

Manager

Name Role Address
RIVERA JOSE III Manager 11885 FICTION AVENUE, ORLANDO, FL, 32832

Documents

Name Date
ANNUAL REPORT 2024-03-13
ANNUAL REPORT 2023-04-06
ANNUAL REPORT 2022-03-01
Florida Limited Liability 2021-04-02

Date of last update: 03 Feb 2025

Sources: Florida Department of State