Search icon

SOLARIS COUNSELING SERVICES, LLC

Company Details

Entity Name: SOLARIS COUNSELING SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 16 Mar 2023 (2 years ago)
Document Number: L23000136715
FEI/EIN Number 92-2760493
Address: 721 ASHLEY DRIVE, CRESTVIEW, FL 32536
Mail Address: 721 ASHLEY DRIVE, CRESTVIEW, FL 32536
ZIP code: 32536
County: Okaloosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174219794 2023-04-17 2023-04-17 721 ASHLEY DR, CRESTVIEW, FL, 325369231, US 721 ASHLEY DR, CRESTVIEW, FL, 325369231, US

Contacts

Phone +1 352-478-4005
Fax 3524784006

Authorized person

Name NOVELLA MOFFITT
Role OWNER/OPERATOR/BILLER
Phone 3524513888

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role Address
ROBERTS, DAVID Agent 7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702

Manager

Name Role Address
MOFFITT, NOVELLA P Manager 721 ASHLEY DRIVE, CRESTVIEW, FL 32536

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000043434 SOLARIS COUNSELING ACTIVE 2023-04-05 2028-12-31 No data 2260 S. FERDON BLVD., CRESTVIEW, FL, 32536

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-11 721 ASHLEY DRIVE, CRESTVIEW, FL 32536 No data

Documents

Name Date
ANNUAL REPORT 2024-04-16
Florida Limited Liability 2023-03-16

Date of last update: 10 Feb 2025

Sources: Florida Department of State