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TABULA RASA COUNSELING SERVICES, LLC

Company Details

Entity Name: TABULA RASA COUNSELING SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 17 Nov 2021 (3 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 28 Nov 2022 (2 years ago)
Document Number: L21000491932
FEI/EIN Number 87-3557244
Address: 19045 N Dale Mabry Hwy, Lutz, FL 33548-4982
Mail Address: 9199 BELLA VITA CIRCLE, LAND O' LAKES, FL 34637
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124722772 2023-03-28 2023-03-28 9199 BELLA VITA CIR, LAND O LAKES, FL, 346373504, US 9199 BELLA VITA CIR, LAND O LAKES, FL, 346373504, US

Contacts

Phone +1 813-580-0480
Fax 8133544766

Authorized person

Name RACHEL MCCALL
Role CEO
Phone 8135800480

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary No
Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role Address
MCCALL, RACHEL F Agent 9199 BELLA VITA CIRCLE, LAND O LAKES, FL 34637

Manager

Name Role Address
MCCALL, RACHEL F Manager 9199 BELLA VITA CIRCLE, LAND O LAKES, FL 34637
MCCALL, CORDETT Manager 9199 BELLA VITA CIRCLE, LAND O' LAKES, FL 34637

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-11-16 19045 N Dale Mabry Hwy, Lutz, FL 33548-4982 No data
LC AMENDMENT 2022-11-28 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-04-14
LC Amendment 2022-11-28
ANNUAL REPORT 2022-04-25
Florida Limited Liability 2021-11-17

Date of last update: 13 Jan 2025

Sources: Florida Department of State