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GARELLEK COUNSELING PLLC

Company Details

Entity Name: GARELLEK COUNSELING PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 Apr 2021 (4 years ago)
Document Number: L21000160111
FEI/EIN Number 86-3049809
Address: 2419 Hollywood Blvd, Hollywood, FL, 33020, US
Mail Address: 2419 Hollywood Blvd, Hollywood, FL, 33020, US
ZIP code: 33020
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1386375293 2022-06-21 2022-06-21 5790 STIRLING RD APT 210, HOLLYWOOD, FL, 330211544, US 2419 HOLLYWOOD BLVD # H, HOLLYWOOD, FL, 330206605, US

Contacts

Phone +1 954-361-4535
Fax 9548008859

Authorized person

Name AKIVA J GARELLEK
Role PRACTICE OWNER
Phone 9543614535

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role Address
GARELLEK AKIVA Agent 2419 Hollywood Blvd, Hollywood, FL, 33020

Auth

Name Role Address
GARELLEK AKIVA J Auth 2419 Hollywood Blvd, Hollywood, FL, 33020
Hasson Rachel J Auth 2419 Hollywood Blvd, Hollywood, FL, 33020

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-03-04 2419 Hollywood Blvd, H & I, Hollywood, FL 33020 No data
REGISTERED AGENT ADDRESS CHANGED 2023-03-04 2419 Hollywood Blvd, H, Hollywood, FL 33020 No data
CHANGE OF PRINCIPAL ADDRESS 2022-04-24 2419 Hollywood Blvd, H & I, Hollywood, FL 33020 No data

Documents

Name Date
ANNUAL REPORT 2024-02-28
ANNUAL REPORT 2023-03-04
ANNUAL REPORT 2022-04-24
Florida Limited Liability 2021-04-06

Date of last update: 01 Feb 2025

Sources: Florida Department of State