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SACRED WINGS COUNSELING, LLC

Company Details

Entity Name: SACRED WINGS COUNSELING, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 10 Mar 2022 (3 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 09 Aug 2023 (2 years ago)
Document Number: L22000122122
FEI/EIN Number 88-1436529
Address: 137 Southeast Craig Avenue, Lake City, FL, 32025, US
Mail Address: 137 Southeast Craig Avenue, Lake City, FL, 32025, US
ZIP code: 32025
County: Columbia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205613445 2023-09-12 2023-09-12 184 SW STORY PL, LAKE CITY, FL, 320241101, US 826 SW MAIN BLVD STE 102, LAKE CITY, FL, 320255742, US

Contacts

Phone +1 386-984-5366
Fax 3862876525

Authorized person

Name AMANDA MANSKE
Role MENTAL HEALTH THERAPIST
Phone 3869845366

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role Address
Manske Amanda J Agent 184 SW STORY PLACE, LAKE CITY, FL, 32024

Authorized Representative

Name Role Address
Manske Amanda J Authorized Representative 184 SW STORY PLACE, LAKE CITY, 32024

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-29 137 Southeast Craig Avenue, Lake City, FL 32025 No data
CHANGE OF MAILING ADDRESS 2024-04-29 137 Southeast Craig Avenue, Lake City, FL 32025 No data
LC AMENDMENT 2023-08-09 No data No data
REGISTERED AGENT NAME CHANGED 2023-03-17 Manske, Amanda J No data

Documents

Name Date
ANNUAL REPORT 2024-04-29
LC Amendment 2023-08-09
ANNUAL REPORT 2023-03-17
Florida Limited Liability 2022-03-10

Date of last update: 01 Feb 2025

Sources: Florida Department of State