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CHESTNUT COUNSELING AND WELLNESS LLC

Company Details

Entity Name: CHESTNUT COUNSELING AND WELLNESS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 09 Jun 2023 (2 years ago)
Document Number: L23000280501
Address: 2049 W Ridge Dr, Clearwater, FL, 33763, US
Mail Address: 2049 W Ridge Dr, Clearwater, FL, 33763, US
ZIP code: 33763
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033896618 2023-07-05 2023-07-05 41 TURNSTONE DR, SAFETY HARBOR, FL, 346955329, US 41 TURNSTONE DR, SAFETY HARBOR, FL, 346955329, US

Contacts

Phone +1 813-444-2917

Authorized person

Name ELVISA S CHESTNUT
Role OWNER
Phone 7276786914

Taxonomy

Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
Is Primary Yes

Agent

Name Role Address
CHESTNUT ELVISA Agent 41 TURNSTONE DR, SAFETY HARBOR, FL, 34695

Manager

Name Role Address
CHESTNUT ELVISA Manager 41 TURNSTONE DR, SAFETY HARBOR, FL, 34695

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-09-13 2049 W Ridge Dr, Clearwater, FL 33763 No data
CHANGE OF MAILING ADDRESS 2024-09-13 2049 W Ridge Dr, Clearwater, FL 33763 No data

Documents

Name Date
ANNUAL REPORT 2024-04-22
Florida Limited Liability 2023-06-09

Date of last update: 01 Feb 2025

Sources: Florida Department of State