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RENEWED INTEGRATIVE COUNSELING, LLC

Company Details

Entity Name: RENEWED INTEGRATIVE COUNSELING, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 30 Sep 2021 (3 years ago)
Document Number: L21000430222
FEI/EIN Number 873242655
Address: 11912 BALM RIVERVIEW RD, RIVERVIEW, FL, 33569, US
Mail Address: 11912 BALM RIVERVIEW RD, RIVERVIEW, FL, 33569, US
ZIP code: 33569
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144988080 2021-12-07 2021-12-07 10723 BANFIELD DR, RIVERVIEW, FL, 335797781, US 11912 BALM RIVERVIEW ROAD, RIVERVIEW, FL, 33569, US

Contacts

Phone +1 813-444-7116

Authorized person

Name AMANDA LEVY
Role OWNER/THERAPIST
Phone 8134447116

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role Address
LEVY AMANDA L Agent 411 El Greco Dr, Brandon, FL, 33511

Manager

Name Role Address
LEVY AMANDA L Manager 11912 BALM RIVERVIEW RD, RIVERVIEW, FL, 33569
ALCANTARA JEANNETTE Manager 10723 BANFIELD DR, RIVERVIEW, FL, 33579

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000066261 SOUND MIND ACTIVE 2024-05-23 2029-12-31 No data 10723 BANFIELD DRIVE, RIVERVIEW, FL, 33579

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-01-30 11912 BALM RIVERVIEW RD, RIVERVIEW, FL 33569 No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-30 411 El Greco Dr, Brandon, FL 33511 No data
CHANGE OF PRINCIPAL ADDRESS 2022-01-11 11912 BALM RIVERVIEW RD, RIVERVIEW, FL 33569 No data

Documents

Name Date
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-02-14
Florida Limited Liability 2021-09-30

Date of last update: 01 Feb 2025

Sources: Florida Department of State