| Entity Name: | EMBODIED COUNSELING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 21 Aug 2023 (a year ago) |
| Document Number: | L23000391279 |
| FEI/EIN Number | 93-3030961 |
| Address: | 1406 Kingsley Avenue, Suite A2, Orange Park, FL 32073 |
| Mail Address: | 12452 BLACKWATER COURT, JACKSONVILLE, FL 32223 |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972382331 | 2023-09-25 | 2024-04-01 | 12452 BLACKWATER CT, JACKSONVILLE, FL, 322234057, US | 1406 KINGSLEY AVE STE A2, ORANGE PARK, FL, 320734528, US | |||||||||||||
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| Phone | +1 904-735-7385 |
Authorized person
| Name | SABRINA NASTA |
| Role | LICENSED MENTAL HEALTH COUNSELOR |
| Phone | 9047357385 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NASTA, SABRINA | Agent | 12452 BLACKWATER COURT, JACKSONVILLE, FL 32223 |
| Name | Role | Address |
|---|---|---|
| NASTA, SABRINA | Authorized Representative | 12452 BLACKWATER COURT, JACKSONVILLE, FL 32223 |
| Name | Role | Address |
|---|---|---|
| NASTA, BRETT | Authorized Person | 12452 BLACKWATER COURT, JACKSONVILLE, FL 32223 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-10-03 | 1406 Kingsley Avenue, Suite A2, Orange Park, FL 32073 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-20 |
| ANNUAL REPORT | 2024-02-01 |
| Florida Limited Liability | 2023-08-21 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
