| Entity Name: | EMERALD SPRINGS FAMILY COUNSELING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 01 Jul 2022 (3 years ago) |
| Document Number: | L22000297734 |
| FEI/EIN Number | 88-3175284 |
| Address: | 32 West Renoir Rd., Defuniak Springs, FL 32433 |
| Mail Address: | 32 West Renoir Rd., Defuniak Springs, FL 32433 |
| ZIP code: | 32433 |
| County: | Walton |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992566889 | 2024-01-18 | 2024-01-18 | 81 ST HWY 83 N STE A, DEFUNIAK SPRINGS, FL, 324337487, US | 81 ST HWY 83 N STE A, DEFUNIAK SPRINGS, FL, 324337487, US | |||||||||||||
|
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| Phone | +1 719-286-3338 |
Authorized person
| Name | LIBBY RENAE MARCOLONGO |
| Role | MARRIAGE AND FAMILY THERAPIST |
| Phone | 7192863338 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Marcolongo, Libby Renae | Agent | 32 West Renoir Rd., Defuniak Springs, FL 32433 |
| Name | Role | Address |
|---|---|---|
| Marcolongo, Libby | Authorized Member | 32 W RENOIR RD, DEFUNIAK SPGS, FL 32433-7747 |
| Name | Role | Address |
|---|---|---|
| Marcolongo, Martin | Authorized Representative | 32 West Renoir Rd., Defuniak Springs, FL 32433 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-02-02 | Marcolongo, Libby Renae | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-02 | 32 West Renoir Rd., Defuniak Springs, FL 32433 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-11 | 32 West Renoir Rd., Defuniak Springs, FL 32433 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-11 | 32 West Renoir Rd., Defuniak Springs, FL 32433 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-02-11 |
| Florida Limited Liability | 2022-07-01 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
