| Entity Name: | CORNERSTONE CENTERS FOR WELLBEING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Apr 2021 (4 years ago) |
| Document Number: | L21000186029 |
| FEI/EIN Number | 87-3021284 |
| Mail Address: | 12470 TELECOM DRIVE, SUITE 301, ATTN: LEGAL, TEMPLE TERRACE, FL, 33637, US |
| Address: | 2445 LANE PARK ROAD, TAVARES, FL, 32778, US |
| ZIP code: | 32778 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811659634 | 2021-10-08 | 2021-10-08 | 2445 LANE PARK RD, TAVARES, FL, 327789648, US | 2445 LANE PARK RD, TAVARES, FL, 327789648, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 866-742-6655 |
Authorized person
| Name | CHARLES O LEE |
| Role | MANAGER |
| Phone | 8667426655 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOLOSKY ANDREW K | Agent | 12470 TELECOM DRIVE, SUITE 301, TEMPLE TERRACE, FL, 33637 |
| Name | Role |
|---|---|
| CORNERSTONE HEALTH SERVICES, INC. | Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-04-28 | 2445 LANE PARK ROAD, TAVARES, FL 32778 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-04-28 | MOLOSKY, ANDREW K | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-28 | 12470 TELECOM DRIVE, SUITE 301, ATTN: LEGAL, TEMPLE TERRACE, FL 33637 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-26 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-22 |
| Florida Limited Liability | 2021-04-21 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
