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IMPACT TRAUMA COUNSELING LLC - Florida Company Profile

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Company Details

Entity Name: IMPACT TRAUMA COUNSELING LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 07 Sep 2022 (3 years ago)
Document Number: L22000391183
FEI/EIN Number NOT APPLICABLE
Address: 2701 Park Drive, Clearwater, FL, 33763, US
Mail Address: 204 37th Ave N, #347, ST. PETERSBURG, FL, 33704, US
ZIP code: 33763
City: Clearwater
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
WOLSTEIN JULIE Manager 204 37th Ave N, #347, ST. PETERSBURG, FL, 33704
WOLSTEIN BRIAN Manager 204 37th Ave N, #347, ST. PETERSBURG, FL, 33704
WOLSTEIN JULIE Agent 204 37th Ave N, #347, ST. PETERSBURG, FL, 33704

National Provider Identifier

NPI Number:
1467152645
Certification Date:
2023-03-07

Authorized Person:

Name:
MR. BRIAN G WOLSTEIN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2025-02-06 2701 Park Drive, Suite 2 & 7, Clearwater, FL 33763 -
REGISTERED AGENT ADDRESS CHANGED 2025-02-06 204 37th Ave N, #347, ST. PETERSBURG, FL 33704 -
CHANGE OF PRINCIPAL ADDRESS 2024-03-07 2701 Park Drive, Suite 2 & 7, Clearwater, FL 33763 -

Documents

Name Date
ANNUAL REPORT 2025-02-06
ANNUAL REPORT 2024-03-07
ANNUAL REPORT 2023-01-22
Florida Limited Liability 2022-09-07

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Date of last update: 02 Aug 2025

Sources: Florida Department of State