| Entity Name: | KIM JELUSO LCSW, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Jan 2022 (3 years ago) |
| Document Number: | L22000031430 |
| FEI/EIN Number | 88-0737221 |
| Address: | 11529 Sandy Run, JUPITER, FL, 33478, US |
| Mail Address: | 11529 Sandy Run, JUPITER, FL, 33478, US |
| ZIP code: | 33478 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346984655 | 2022-04-22 | 2022-04-22 | 537 US HIGHWAY 1 STE 2, NORTH PALM BEACH, FL, 334084903, US | 537 US HIGHWAY 1 STE 2, NORTH PALM BEACH, FL, 334084903, US | |||||||||||||
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| Phone | +1 561-310-1046 |
Authorized person
| Name | KIMBERLY JELUSO |
| Role | OWNER |
| Phone | 5613101046 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JELUSO KIMBERLY A | Agent | 11529 Sandy Run, JUPITER, FL, 33478 |
| Name | Role | Address |
|---|---|---|
| JELUSO KIMBERLY A | Authorized Representative | 11529 Sandy Run, JUPITER, FL, 33478 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-22 | 11529 Sandy Run, JUPITER, FL 33478 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-22 | 11529 Sandy Run, JUPITER, FL 33478 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-22 | 11529 Sandy Run, JUPITER, FL 33478 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-02-06 |
| Florida Limited Liability | 2022-01-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
