| Entity Name: | CYNTHIA WHITAKER, LCSW, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 Jan 2022 (3 years ago) |
| Document Number: | L22000053254 |
| FEI/EIN Number | 88-0826236 |
| Address: | 8017 ARCHER CIR, TALLAHASSEE, FL, 32309, US |
| Mail Address: | 8017 ARCHER CIR, TALLAHASSEE, FL, 32309, US |
| ZIP code: | 32309 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548704224 | 2016-12-14 | 2016-12-14 | 2141 SAND DUNE CT, TALLAHASSEE, FL, 323084872, US | 916 N GADSDEN ST, TALLAHASSEE, FL, 323036316, US | |||||||||||||||||||
|
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| Phone | +1 850-510-1713 |
| Phone | +1 850-694-8454 |
Authorized person
| Name | CYNTHIA SMITH WHITAKER |
| Role | SOLE PROPRIETOR |
| Phone | 8506948454 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | 9161 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WHITAKER CYNTHIA S | Agent | 8017 ARCHER CIR, TALLAHASSEE, FL, 32309 |
| Name | Role | Address |
|---|---|---|
| WHITAKER CYNTHIA S | Manager | 8017 ARCHER CIR, TALLAHASSEE, FL, 32309 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| ANNUAL REPORT | 2023-04-28 |
| Florida Limited Liability | 2022-01-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
