| Entity Name: | SOUL COUNSELING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Jul 2021 (4 years ago) |
| Document Number: | L21000304917 |
| FEI/EIN Number | 87-1483729 |
| Address: | 100 Court Street SE, Suite 105, Live Oak, FL 32064 |
| Mail Address: | 11985 COUNTY ROAD 252, MCALPIN, FL 32062 |
| ZIP code: | 32064 |
| County: | Suwannee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952020174 | 2022-08-23 | 2022-08-23 | 11985 COUNTY ROAD 252, MC ALPIN, FL, 320622259, US | 11985 COUNTY ROAD 252, MC ALPIN, FL, 320622259, US | |||||||||||||||||||
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| Phone | +1 386-209-8734 |
Authorized person
| Name | MR. FRANK BERLANGA |
| Role | CEO/PRESIDENT |
| Phone | 3862098734 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 113495900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BERLANGA, LOURDES | Agent | 11985 COUNTY ROAD 252, MCALPIN, FL 32062 |
| Name | Role | Address |
|---|---|---|
| BERLANGA, LOURDES | President | 11985 COUNTY ROAD 252, MCALPIN, FL 32062 |
| Name | Role | Address |
|---|---|---|
| Berlanga, Frank | Vice President | 11985 COUNTY ROAD 252, MCALPIN, FL 32062 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000087905 | SOUL COUNSELING LLC | ACTIVE | 2021-07-02 | 2026-12-31 | No data | 11985 COUNTY ROAD 252, MCALPIN, FL, 32062 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-06 | 100 Court Street SE, Suite 105, Live Oak, FL 32064 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-06 |
| ANNUAL REPORT | 2024-01-16 |
| ANNUAL REPORT | 2023-01-03 |
| ANNUAL REPORT | 2022-01-16 |
| Florida Limited Liability | 2021-07-02 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
