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LUCID COUNSELING CENTER LLC

Company Details

Entity Name: LUCID COUNSELING CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 16 Aug 2022 (2 years ago)
Document Number: L22000360860
FEI/EIN Number 88-3892951
Address: 12004 BURTON ST, CLERMONT, FL 34711
Mail Address: 12004 BURTON ST, CLERMONT, FL 34711
ZIP code: 34711
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326764432 2022-10-19 2022-10-19 12004 BURTON ST, CLERMONT, FL, 347118853, US 12004 BURTON ST, CLERMONT, FL, 347118853, US

Contacts

Phone +1 407-607-0347

Authorized person

Name MARCUS NAVARRO
Role MANAGER
Phone 4075529096

Taxonomy

Taxonomy Code 106H00000X - Marriage & Family Therapist
Is Primary Yes

Agent

Name Role Address
NAVARRO, MARCUS Agent 12004 BURTON ST, CLERMONT, FL 34711

Manager

Name Role Address
NAVARRO, PAULA Manager 12004 BURTON ST, CLERMONT, FL 34711
NAVARRO, MARCUS Manager 12004 BURTON ST,, CLERMONT, FL 34711

Documents

Name Date
ANNUAL REPORT 2024-02-02
ANNUAL REPORT 2023-05-11
Florida Limited Liability 2022-08-16

Date of last update: 11 Jan 2025

Sources: Florida Department of State