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COLLECTIVE SELF LLC

Company Details

Entity Name: COLLECTIVE SELF LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 07 Aug 2023 (2 years ago)
Date of dissolution: 27 Sep 2024 (4 months ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (4 months ago)
Document Number: L23000370133
Mail Address: 5379 LYONS RD, COCONUT CREEK, FL 33073
Address: 4400 W Sample Road, COCONUT CREEK, FL 33073
ZIP code: 33073
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821864505 2023-12-04 2023-12-04 5379 LYONS RD # 172, COCONUT CREEK, FL, 330732810, US 4400 W SAMPLE RD STE 112, COCONUT CREEK, FL, 330733457, US

Contacts

Phone +1 954-240-0884
Fax 5054381820

Authorized person

Name GWENEVERE ABRIEL
Role CEO
Phone 9542400884

Taxonomy

Taxonomy Code 106H00000X - Marriage & Family Therapist
Is Primary Yes

Agent

Name Role Address
ABRIEL, GWENEVERE Agent 5449 WILES ROAD, 302, COCONUT CREEK, FL 33073

Manager

Name Role Address
ABRIEL, GWENEVERE Manager 5449 WILES ROAD SUITE 302, COCONUT CREEK, FL 33073

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data

Documents

Name Date
Florida Limited Liability 2023-08-07

Date of last update: 09 Feb 2025

Sources: Florida Department of State