| Entity Name: | WONDERLAND CONSULTING AND COUNSELING SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 29 Dec 2021 (3 years ago) |
| Date of dissolution: | 13 Apr 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 13 Apr 2023 (2 years ago) |
| Document Number: | L22000007508 |
| FEI/EIN Number | 87-4174679 |
| Address: | 5471 w waters ave, suite 300, TAMPA, FL 33634 UN |
| Mail Address: | 5471 w waters ave, suite 300, TAMPA, FL 33634 UN |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881347458 | 2022-02-02 | 2022-02-02 | 5471 W WATERS AVE STE 300, TAMPA, FL, 336341253, US | 5471 W WATERS AVE STE 300, TAMPA, FL, 336341253, US | |||||||||||||||||||||
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| Phone | +1 813-512-6147 |
| Fax | 8135126129 |
Authorized person
| Name | PRISCILLA E MOLINA |
| Role | MANAGER |
| Phone | 9178582003 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1871550509 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MOLINA, PRISCILLA | Agent | 2930 W HILLSBOROUGH AVE, TAMPA, FL 33614 |
| Name | Role | Address |
|---|---|---|
| MOLINA, PRISCILLA | Manager | 2930 W HILLSBOROUGH AVE, TAMPA, FL 33614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-04-13 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-25 | 5471 w waters ave, suite 300, TAMPA, FL 33634 UN | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-25 | 5471 w waters ave, suite 300, TAMPA, FL 33634 UN | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-04-13 |
| Florida Limited Liability | 2021-12-29 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
