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LOTUS COUNSELING OF TAMPA BAY, LLC

Company Details

Entity Name: LOTUS COUNSELING OF TAMPA BAY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 28 Jun 2022 (3 years ago)
Document Number: L22000291990
FEI/EIN Number N/A
Address: 10739 AYRSHIRE DRIVE, TAMPA, FL 33626
Mail Address: 2803 GULF TO BAY BLVD, 422, CLEARWATER, FL 33759
ZIP code: 33626
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407693914 2024-07-11 2024-07-11 10739 AYRSHIRE DR, TAMPA, FL, 336262633, US 2837 1ST AVE N, SAINT PETERSBURG, FL, 337138603, US

Contacts

Phone +1 727-474-0534

Authorized person

Name DANA WILLIAMS
Role OWNER/OPERATOR
Phone 7274740534

Taxonomy

Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
Is Primary Yes

Agent

Name Role Address
WILLIAMS, DANA M Agent 10739 AYRSHIRE DRIVE, TAMPA, FL 33626

Manager

Name Role Address
WILLIAMS, DANA M Manager 2803 GULF TO BAY BLVD, 422, CLEARWATER, FL 33759

Documents

Name Date
ANNUAL REPORT 2024-01-12
ANNUAL REPORT 2023-05-02
Florida Limited Liability 2022-06-28

Date of last update: 12 Jan 2025

Sources: Florida Department of State