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COLLABORATIVE CONNECTIONS COUNSELING SOLUTIONS LLC

Company Details

Entity Name: COLLABORATIVE CONNECTIONS COUNSELING SOLUTIONS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 23 Aug 2022 (2 years ago)
Document Number: L22000370288
FEI/EIN Number 88-3909089
Address: 4801 S University Dr., Davie, FL, 33328, US
Mail Address: 4801 S University Dr., Davie, FL, 33328, US
ZIP code: 33328
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003524422 2022-11-14 2023-01-13 4801 S UNIVERSITY DR STE 219, DAVIE, FL, 333283837, US 4801 S UNIVERSITY DR STE 219, DAVIE, FL, 333283837, US

Contacts

Phone +1 954-393-5846
Phone +1 954-479-9950

Authorized person

Name MS. SHARONA C BAKER
Role OWNER/PSYCHOTHERAPIST
Phone 9544799950

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role Address
BAKER SHARONA C Agent 4801 S University Dr., Davie, FL, 33328

Manager

Name Role Address
BAKER SHARONA C Manager 4801 S University Dr., Davie, FL, 33328

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-02 4801 S University Dr., Suite 241, Davie, FL 33328 No data
CHANGE OF MAILING ADDRESS 2024-04-02 4801 S University Dr., Suite 241, Davie, FL 33328 No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-02 4801 S University Dr., Suite 241, Davie, FL 33328 No data

Documents

Name Date
ANNUAL REPORT 2024-04-02
ANNUAL REPORT 2023-04-27
Florida Limited Liability 2022-08-23

Date of last update: 03 Feb 2025

Sources: Florida Department of State