Entity Name: | CRAWFORD COUNSELING AND WELLNESS LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 06 Oct 2021 (3 years ago) |
Document Number: | L21000437771 |
FEI/EIN Number | 87-2971178 |
Address: | 130 NORTH 19TH STREET, FERNANDINA BEACH, FL, 32034, US |
Mail Address: | 130 NORTH 19TH STREET, FERNANDINA BEACH, FL, 32034, US |
ZIP code: | 32034 |
County: | Nassau |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1811624281 | 2022-08-04 | 2022-08-04 | 130 N 19TH ST, FERNANDINA BEACH, FL, 320342544, US | 501 CENTRE ST STE 117, FERNANDINA BEACH, FL, 320343936, US | |||||||||||||
|
Phone | +1 904-557-5288 |
Authorized person
Name | ANGELINE RAINEY CRAWFORD |
Role | LICENSED MENTAL HEALTH COUNSELOR |
Phone | 9045575288 |
Taxonomy
Taxonomy Code | 101YM0800X - Mental Health Counselor |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
CRAWFORD ANGELINE R | Agent | 130 NORTH 19TH STREET, FERNANDINA BEACH, FL, 32034 |
Name | Role | Address |
---|---|---|
CRAWFORD ANGELINE R | Member | 130 NORTH 19TH STREET, FERNANDINA BEACH, FL, 32034 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-17 |
ANNUAL REPORT | 2023-04-18 |
ANNUAL REPORT | 2022-04-18 |
Florida Limited Liability | 2021-10-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State