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 |
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 | |||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
ROBERTS, DAVID | Agent | 7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702 |
Name | Role | Address |
---|---|---|
MOFFITT, NOVELLA P | Manager | 721 ASHLEY DRIVE, CRESTVIEW, FL 32536 |
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 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2023-04-11 | 721 ASHLEY DRIVE, CRESTVIEW, FL 32536 | No data |
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