| Entity Name: | KELLI RICHARD-LOPEZ, LCSW, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Oct 2021 (3 years ago) |
| Document Number: | L21000462562 |
| FEI/EIN Number | 87-3309182 |
| Address: | 300 S Pine Island Rd, Plantation, FL, 33324, US |
| Mail Address: | 300 S Pine Island Rd, Plantation, FL, 33324, US |
| ZIP code: | 33324 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538896881 | 2022-08-05 | 2022-10-04 | 2969 OAK PARK CIR, DAVIE, FL, 333286727, US | 2969 OAK PARK CIR, DAVIE, FL, 333286727, US | |||||||||||||
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| Phone | +1 954-290-9320 |
Authorized person
| Name | MRS. KELLI RICHARD LOPEZ |
| Role | OWNER |
| Phone | 9542909320 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOPEZ KELLI R | Agent | 300 S Pine Island Rd, Plantation, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| LOPEZ KELLI R | Manager | 300 S Pine Island Rd, Plantation, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| LOPEZ DAVID AJR. | Authorized Person | 300 S Pine Island Rd, Plantation, FL, 33324 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-26 | 300 S Pine Island Rd, Suite 262, Plantation, FL 33324 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-26 | 300 S Pine Island Rd, Suite 262, Plantation, FL 33324 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-26 | 300 S Pine Island Rd, Suite 262, Plantation, FL 33324 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-08 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-03-09 |
| Florida Limited Liability | 2021-10-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
