| Entity Name: | LUKE BROCCO, LCSW, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 14 Sep 2022 (2 years ago) |
| Document Number: | L22000401054 |
| FEI/EIN Number | 92-0394623 |
| Address: | 1114 Thomasville Rd, Suite E-3, Tallahassee, FL 32303 |
| Mail Address: | 1114 Thomasville Rd, Suite E-3, Tallahassee, FL 32303 |
| ZIP code: | 32303 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659094142 | 2022-09-21 | 2024-07-19 | 1114 THOMASVILLE RD STE E-3, TALLAHASSEE, FL, 323036288, US | 1114 THOMASVILLE RD STE E-3, TALLAHASSEE, FL, 323036288, US | |||||||||||||||
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| Phone | +1 850-203-0214 |
| Fax | 8555952914 |
Authorized person
| Name | MR. LUKE BYRON BROCCO |
| Role | OWNER/THERAPIST |
| Phone | 8502030214 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BROCCO, LUKE B | Agent | 1114 Thomasville Rd, Suite E-3, Tallahassee, FL 32303 |
| Name | Role | Address |
|---|---|---|
| BROCCO, LUKE | Chief Executive Officer | 1114 THOMASVILLE RD, SUITE E-3 TALLAHASSEE 32303 UN |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2025-02-07 | 1114 Thomasville Rd, Suite E-3, Tallahassee, FL 32303 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-14 | 1114 Thomasville Rd, Suite E-3, Tallahassee, FL 32303 | No data |
| CHANGE OF MAILING ADDRESS | 2024-08-14 | 1114 Thomasville Rd, Suite E-3, Tallahassee, FL 32303 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-07 |
| ANNUAL REPORT | 2024-01-14 |
| ANNUAL REPORT | 2023-01-29 |
| Florida Limited Liability | 2022-09-14 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
