| Entity Name: | KC COUNSELING AND WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 May 2023 (2 years ago) |
| Document Number: | L23000249022 |
| FEI/EIN Number | 99-1938098 |
| Address: | 1211 Tech Blvd, Tampa, FL, 33619, US |
| Mail Address: | 3959 KING DRIVE, BRANDON, FL, 33511, UN |
| ZIP code: | 33619 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851149009 | 2024-05-10 | 2024-05-10 | 3959 KING DR, BRANDON, FL, 335117853, US | 1211 TECH BLVD STE 127, TAMPA, FL, 336197846, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 786-400-8093 |
| Phone | +1 863-313-0340 |
Authorized person
| Name | KANILINA CLERGE |
| Role | OWNER |
| Phone | 7864008093 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 101YP2500X - Professional Counselor |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CLERGE KANILINA | Agent | 3959 KING DRIVE, BRANDON, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| CLERGE KANILINA | Manager | 3959 KING DRIVE, BRANDON, FL, 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-15 | 1211 Tech Blvd, Suite #127, Tampa, FL 33619 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| Florida Limited Liability | 2023-05-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
