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PELICAN COUNSELING, LLC

Company Details

Entity Name: PELICAN COUNSELING, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 24 Jun 2022 (3 years ago)
Document Number: L22000287495
FEI/EIN Number 883014481
Address: 1627 East Vine St Suite 203, Kissimmee, FL, 34744, US
Mail Address: 1627 East Vine St Suite 203, Kissimmee, FL, 34744, US
ZIP code: 34744
County: Osceola
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801514526 2022-08-18 2022-08-25 1627 E VINE ST STE 203, KISSIMMEE, FL, 347443704, US 1627 E VINE ST STE 203, KISSIMMEE, FL, 347443704, US

Contacts

Phone +1 407-953-8870

Authorized person

Name SCARLET CHIEFFALLO
Role CEO
Phone 4079538870

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role Address
CHIEFFALLO SCARLET J Agent 264 BERGAMOT LOOP, DAVENPORT, FL, 33837

Authorized Member

Name Role Address
CHIEFFALLO SCARLET J Authorized Member 264 BERGAMOT LOOP, DAVENPORT, FL, 33837

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000128371 STRATOSPHERE BEHAVIORAL ACTIVE 2022-10-13 2027-12-31 No data 1627 EAST VINE ST, SUITE 203, KISSIMMEE, FL, 34744

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-09-16 1627 East Vine St Suite 203, Kissimmee, FL 34744 No data
CHANGE OF MAILING ADDRESS 2022-09-16 1627 East Vine St Suite 203, Kissimmee, FL 34744 No data

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-04-28
Florida Limited Liability 2022-06-24

Date of last update: 02 Feb 2025

Sources: Florida Department of State