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LOURDES CONTRERAS COUNSELING SERVICES, LLC

Company Details

Entity Name: LOURDES CONTRERAS COUNSELING SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 31 May 2022 (3 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 15 Jun 2022 (3 years ago)
Document Number: L22000247819
FEI/EIN Number 88-2739341
Address: 1275 US Highway 1 Suite 2, Vero Beach, FL 32960
Mail Address: 761 SW JASLO AVE, PORT SAINT LUCIE, FL 34953
ZIP code: 32960
County: Indian River
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699407809 2022-06-27 2023-02-08 761 SW JASLO AVE, PORT SAINT LUCIE, FL, 349533940, US 494 MAPLE AVE, FORT PIERCE, FL, 349825949, US

Contacts

Phone +1 646-314-2705
Phone +1 772-245-0048

Authorized person

Name MRS. LOURDES CONTRERAS
Role OWNER
Phone 7722450048

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary No

Agent

Name Role Address
CONTRERAS, LOURDES Agent 761 SW JASLO AVE, PORT SAINT LUCIE, FL 34953

Manager

Name Role Address
CONTRERAS, LOURDES Manager 761 SW JASLO AVENUE, PORT SAINT LUCIE, FL 34953

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-11-07 1275 US Highway 1 Suite 2, Vero Beach, FL 32960 No data
LC AMENDMENT 2022-06-15 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-18
ANNUAL REPORT 2023-04-12
LC Amendment 2022-06-15
Florida Limited Liability 2022-05-31

Date of last update: 12 Jan 2025

Sources: Florida Department of State