| Entity Name: | REBECCACAMPOSLCSW, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 29 Nov 2021 (3 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L21000504694 |
| Address: | 4101 WILMONT PLACE, FORT MYERS, FL, 33916, US |
| Mail Address: | 4101 WILMONT PLACE, FORT MYERS, FL, 33916, US |
| ZIP code: | 33916 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285393942 | 2021-12-09 | 2021-12-10 | 4101 WILMONT PL, FORT MYERS, FL, 339168006, US | 4101 WILMONT PL, FORT MYERS, FL, 339168006, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 203-810-9817 |
Authorized person
| Name | REBECCA HERNANDEZ-CAMPOS |
| Role | OWNER |
| Phone | 2038109817 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CAMPOS REBECCA | Agent | 4101 WILMONT PLACE, FORT MYERS, FL, 33916 |
| Name | Role | Address |
|---|---|---|
| CAMPOS REBECCA | Authorized Representative | 4101 WILMONT PLACE, FORT MYERS, FL, 33916 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2021-11-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
