| Entity Name: | PEDIATRIC COUNSELING NETWORK, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Aug 2022 (2 years ago) |
| Document Number: | L22000344347 |
| FEI/EIN Number | 88-3673345 |
| Address: | 416 BELLA VIDA BLVD., ORLANDO, FL 32828 |
| Mail Address: | 416 BELLA VIDA BLVD., ORLANDO, FL 32828 |
| ZIP code: | 32828 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972326833 | 2024-11-07 | 2024-11-07 | 416 BELLA VIDA BLVD, ORLANDO, FL, 328286716, US | 416 BELLA VIDA BLVD, ORLANDO, FL, 328286716, US | |||||||||||||||
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| Phone | +1 407-490-7064 |
| Phone | +1 407-490-4080 |
Authorized person
| Name | CHELIMER MIRO RIVERA |
| Role | CEO |
| Phone | 4074907064 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MIRO RIVERA, CHELIMER | Agent | 416 BELLA VIDA BLVD, ORLANDO, FL 32828 |
| Name | Role | Address |
|---|---|---|
| MIRO, CARLOS | Manager | 416 BELLA VIDA BLVD, ORLANDO, FL 32828 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-01-29 |
| Florida Limited Liability | 2022-08-04 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State
