| Entity Name: | MOSAIC CREATIVE COUNSELING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Apr 2021 (4 years ago) |
| Document Number: | L21000175568 |
| FEI/EIN Number | 88-0581957 |
| Address: | 1840 Fiddler Court, TALLAHASSEE, FL, 32308, US |
| Mail Address: | 1840 Fiddler Court, TALLAHASSEE, FL, 32308, US |
| ZIP code: | 32308 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386375632 | 2022-06-17 | 2022-06-17 | 2931 KERRY FOREST PKWY STE 202, TALLAHASSEE, FL, 323096883, US | 2931 KERRY FOREST PKWY STE 202, TALLAHASSEE, FL, 323096883, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 850-542-1212 |
Authorized person
| Name | MRS. NICOLE ELIZABETH RAINEY |
| Role | OWNER |
| Phone | 8504622599 |
Taxonomy
| Taxonomy Code | 101Y00000X - Counselor |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 101YP2500X - Professional Counselor |
| Is Primary | No |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | No |
| Taxonomy Code | 221700000X - Art Therapist |
| Is Primary | No |
| Taxonomy Code | 225A00000X - Music Therapist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| RAINEY NICOLE E | Agent | 2104 LYTHAM LANE, TALLAHASSEE, FL, 32309 |
| Name | Role | Address |
|---|---|---|
| RAINEY NICOLE E | Manager | 2104 LYTHAM LANE, TALLAHASSEE, FL, 32308 |
| Name | Role | Address |
|---|---|---|
| Rainey Julius | Chief Financial Officer | 2104 Lytham Lane, Tallahassee, FL, 32308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-11-22 | 1840 Fiddler Court, TALLAHASSEE, FL 32308 | No data |
| CHANGE OF MAILING ADDRESS | 2022-11-22 | 1840 Fiddler Court, TALLAHASSEE, FL 32308 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-04-11 |
| Florida Limited Liability | 2021-04-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
