Entity Name: | ELEMENTS COUNSELING, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 13 Sep 2021 (3 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 19 Oct 2021 (3 years ago) |
Document Number: | L21000404057 |
FEI/EIN Number | 87-2602653 |
Address: | 13668 W. Hillsborough Ave., Tampa, FL 33635 |
Mail Address: | 1105 WITHLACOOCHEE ST., SAFETY HARBOR, FL 34695 |
ZIP code: | 33635 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1154198430 | 2023-12-07 | 2023-12-07 | 1105 WITHLACOOCHEE ST, SAFETY HARBOR, FL, 346953440, US | 13668 W HILLSBOROUGH AVE, TAMPA, FL, 336359638, US | |||||||||||||||
|
Phone | +1 321-576-6405 |
Phone | +1 727-482-1413 |
Authorized person
Name | BETHANY BRUNN |
Role | OWNER |
Phone | 7274821413 |
Taxonomy
Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BRUNN, BETHANY A | Agent | 1105 WITHLACOOCHEE ST., SAFETY HARBOR, FL 34695 |
Name | Role | Address |
---|---|---|
BRUNN, DOUGLAS | Authorized Member | 1105 WITHLACOOCHEE ST., SAFETY HARBOR, FL 34695 |
Name | Role | Address |
---|---|---|
BRUNN, BETHANY | Manager | 1105 WITHLACOOCHEE ST., SAFETY HARBOR, FL 34695 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-04-18 | 13668 W. Hillsborough Ave., Tampa, FL 33635 | No data |
LC AMENDMENT | 2021-10-19 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-18 |
ANNUAL REPORT | 2023-04-09 |
ANNUAL REPORT | 2022-03-02 |
LC Amendment | 2021-10-19 |
Florida Limited Liability | 2021-09-13 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State