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