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PAMELA PIERCE, LLC

Company Details

Entity Name: PAMELA PIERCE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 08 Apr 2022 (3 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 14 Nov 2023 (a year ago)
Document Number: L22000169678
FEI/EIN Number 88-1971984
Address: 502 E. Second Ave, CRESTVIEW, FL, 32536, US
Mail Address: 502 E. Second Avenue, CRESTVIEW, FL, 32536, US
ZIP code: 32536
County: Okaloosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588398911 2022-07-12 2022-07-12 6135 BRICKHILL CT, CRESTVIEW, FL, 325364395, US 6135 BRICKHILL CT, CRESTVIEW, FL, 325364395, US

Contacts

Phone +1 208-914-8161

Authorized person

Name PAMELA PIERCE
Role LICENSED CLINICAL SOCIAL WORKER
Phone 2089148161

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role Address
PIERCE PAMELA Agent 502 E. Second Avenue, CRESTVIEW, FL, 32536

Manager

Name Role Address
PIERCE PAMELA Manager 502 E. Second Avenue, CRESTVIEW, FL, 32536

Events

Event Type Filed Date Value Description
REINSTATEMENT 2023-11-14 No data No data
CHANGE OF PRINCIPAL ADDRESS 2023-11-14 502 E. Second Ave, CRESTVIEW, FL 32536 No data
CHANGE OF MAILING ADDRESS 2023-11-14 502 E. Second Ave, CRESTVIEW, FL 32536 No data
REGISTERED AGENT NAME CHANGED 2023-11-14 PIERCE, PAMELA No data
REGISTERED AGENT ADDRESS CHANGED 2023-11-14 502 E. Second Avenue, CRESTVIEW, FL 32536 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-15
REINSTATEMENT 2023-11-14
Florida Limited Liability 2022-04-08

Date of last update: 03 Feb 2025

Sources: Florida Department of State