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CJM COUNSELING AND WELLNESS, LLC

Company Details

Entity Name: CJM COUNSELING AND WELLNESS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 Jul 2022 (3 years ago)
Document Number: L22000311190
FEI/EIN Number 88-3397141
Address: 10380 SW Village Center Dr, Port Saint Lucie, FL, 34987, US
Mail Address: 10380 SW Village Center Dr, Port Saint Lucie, FL, 34987, US
ZIP code: 34987
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609620012 2024-04-12 2024-04-12 10380 SW VILLAGE DR, SUITE 111, PORT SAINT LUCIE, FL, 34987, US 10380 SW VILLAGE DR, SUITE 111, PORT SAINT LUCIE, FL, 34987, US

Contacts

Phone +1 754-400-0285

Authorized person

Name CHONTEL A JOHNSON MCCALLUM
Role CEO
Phone 7544000285

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role Address
Johnson McCallum Chontel A Agent 10380 SW Village Center Dr, Port Saint Lucie, FL, 34953

Chief Executive Officer

Name Role Address
JOHNSON MCCALLUM CHONTEL A Chief Executive Officer 10380 SW Village Center Dr, Port Saint Lucie, FL, 34953

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-10 10380 SW Village Center Dr, Port Saint Lucie, FL 34987 No data
CHANGE OF MAILING ADDRESS 2024-04-10 10380 SW Village Center Dr, Port Saint Lucie, FL 34987 No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-09 10380 SW Village Center Dr, 111, Port Saint Lucie, FL 34953 No data
REGISTERED AGENT NAME CHANGED 2023-04-30 Johnson McCallum, Chontel A No data

Documents

Name Date
ANNUAL REPORT 2024-04-09
ANNUAL REPORT 2023-04-30
Florida Limited Liability 2022-07-13

Date of last update: 01 Feb 2025

Sources: Florida Department of State