| Entity Name: | BROADEN COUNSELING & CONSULTING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Dec 2021 (3 years ago) |
| Document Number: | L21000523017 |
| FEI/EIN Number | 87-3945334 |
| Address: | 4606 CALUMET DRIVE, SAINT CLOUD, FL, 34772, US |
| Mail Address: | 4606 CALUMET DRIVE, SAINT CLOUD, FL, 34772, US |
| ZIP code: | 34772 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528729415 | 2022-01-04 | 2022-01-04 | 4606 CALUMET DR, SAINT CLOUD, FL, 347728988, US | 4606 CALUMET DR, SAINT CLOUD, FL, 347728988, US | |||||||||||||
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| Phone | +1 407-433-5149 |
Authorized person
| Name | LORIE LOPEZ |
| Role | CEO/LICENSED MENTAL HEALTH COUNSELO |
| Phone | 4074335149 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOPEZ LORIE J | Agent | 4606 CALUMET DRIVE, SAINT CLOUD, FL, 34772 |
| Name | Role | Address |
|---|---|---|
| LOPEZ LORIE J | Manager | 4606 CALUMET DRIVE, SAINT CLOUD, FL, 34772 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-12 |
| ANNUAL REPORT | 2022-01-25 |
| Florida Limited Liability | 2021-12-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
