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CRAWFORD COUNSELING AND WELLNESS LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
CRAWFORD ANGELINE R Agent 130 NORTH 19TH STREET, FERNANDINA BEACH, FL, 32034

Member

Name Role Address
CRAWFORD ANGELINE R Member 130 NORTH 19TH STREET, FERNANDINA BEACH, FL, 32034

Documents

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