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