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CREATIVE PATH COUNSELING LLC - Florida Company Profile

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Company Details

Entity Name: CREATIVE PATH COUNSELING LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 12 Apr 2021 (4 years ago)
Document Number: L21000169184
FEI/EIN Number 86-3630515
Address: 16069 TAMPA ST, BROKSVILLE, FL, 34604, US
Mail Address: 16069 TAMPA ST, BROKSVILLE, FL, 34604, US
ZIP code: 34604
City: Brooksville
County: Hernando
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
LACASSE LINA Manager 16069 TAMA ST, BROOKSVILLE, FL, 34604
ROGERS ANITA Authorized Person 12416 TROUT CICLE, SPRING HILL, FL, 34609
BLOMELING-DEROO SARA Authorized Person 4157 OASIS AVE, SPRING HILL, FL, 34609
LACASSE LINA Agent 16069 TAMPA ST, BROOKSVILLE, FL, 34604

National Provider Identifier

NPI Number:
1629652078
Certification Date:
2021-05-11

Authorized Person:

Name:
MS. LINA LACASSE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Documents

Name Date
ANNUAL REPORT 2024-02-20
ANNUAL REPORT 2023-03-13
ANNUAL REPORT 2022-04-19
Florida Limited Liability 2021-04-12

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Date of last update: 02 Aug 2025

Sources: Florida Department of State