| Entity Name: | PEBBLE COUNSELING, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 23 Apr 2021 (4 years ago) |
| Document Number: | L21000190901 |
| FEI/EIN Number | 86-3303341 |
| Address: | 1401 Town Plaza Ct, SUITE 2020, WINTER SPRINGS, FL 32708 |
| Mail Address: | 1401 Town Plaza Ct, SUITE 2020, WINTER SPRINGS, FL 32708 |
| ZIP code: | 32708 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114591922 | 2021-05-17 | 2021-05-17 | 527 SAN SEBASTIAN PRADO, ALTAMONTE SPRINGS, FL, 327142236, US | 527 SAN SEBASTIAN PRADO, ALTAMONTE SPRINGS, FL, 327142236, US | |||||||||||||
|
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| Phone | +1 407-603-5296 |
Authorized person
| Name | SUSEL DE LA CRUZ |
| Role | THERAPIST |
| Phone | 4076035296 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DE LA CRUZ, SUSEL | Agent | 1401 Town Plaza Ct, Suite 2020, Winter Springs, FL 32708 |
| Name | Role | Address |
|---|---|---|
| DE LA CRUZ, SUSEL | Authorized Member | 312 Conch Key Way, Sanford, FL 32771 |
| FERNANDEZ, JOSE L | Authorized Member | 312 Conch Key Way, Sanford, FL 32771 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-14 | 1401 Town Plaza Ct, Suite 2020, Winter Springs, FL 32708 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-24 | 1401 Town Plaza Ct, SUITE 2020, WINTER SPRINGS, FL 32708 | No data |
| CHANGE OF MAILING ADDRESS | 2022-05-24 | 1401 Town Plaza Ct, SUITE 2020, WINTER SPRINGS, FL 32708 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-03-14 |
| ANNUAL REPORT | 2022-04-15 |
| Florida Limited Liability | 2021-04-23 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
