| Entity Name: | REVIVE COUNSELING AND COACHING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
REVIVE COUNSELING AND COACHING LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 11 Jul 2022 (3 years ago) |
| Document Number: | L22000307086 |
| FEI/EIN Number |
88-3210042
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 224 HILLSIDE DR, NICEVILLE, FL, 32578, UN |
| Mail Address: | 224 HILLSIDE DR, NICEVILLE, FL, 32578, UN |
| ZIP code: | 32578 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437871845 | 2022-09-13 | 2022-09-13 | 224 HILLSIDE DR, NICEVILLE, FL, 325782354, US | 1016 JOHN SIMS PKWY E STE B, NICEVILLE, FL, 325782202, US | |||||||||||||||||
|
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| Phone | +1 989-715-4404 |
Authorized person
| Name | RUBY LISA HAWKINS-JACK |
| Role | LICENSED CLINICAL SOCIAL WORKER |
| Phone | 9897154404 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI |
| Number | 1619233566 |
| Name | Role | Address |
|---|---|---|
| HAWKINS-JACK RUBY L | RA | 224 HILLSIDE DR, NICEVILLE, FL, 32578 |
| HAWKINS-JACK RUBY L | Agent | 224 HILLSIDE DR, NICEVILLE, FL, 32578 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-03-06 |
| Florida Limited Liability | 2022-07-11 |
Date of last update: 02 May 2025
Sources: Florida Department of State
