| Entity Name: | ETHERIDGE FAMILY COUNSELING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Sep 2023 (a year ago) |
| Document Number: | L23000435417 |
| FEI/EIN Number | 93-3351140 |
| Address: | 3040 NORTH WICKHAM ROAD, SUITE 3, MELBOURNE, FL, 32935, US |
| Mail Address: | 1213 WINDING MEADOWS ROAD, ROCKLEDGE, FL, 32955, US |
| ZIP code: | 32935 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275309734 | 2023-11-27 | 2023-11-27 | 1213 WINDING MEADOWS RD, ROCKLEDGE, FL, 329558404, US | 3040 N WICKHAM RD STE 3, MELBOURNE, FL, 329352369, US | |||||||||||||||||
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| Phone | +1 321-223-3376 |
| Fax | 3216333108 |
| Phone | +1 321-324-8147 |
Authorized person
| Name | MS. CORA ANN ETHERIDGE |
| Role | LICENSED MENTAL HEALTH COUNSELOR |
| Phone | 3213248147 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ETHERIDGE CORA A | Agent | 1213 WINDING MEADOWS ROAD, ROCKLEDGE, FL, 32955 |
| Name | Role | Address |
|---|---|---|
| ETHERIDGE CORA A | Manager | 1213 WINDING MEADOWS ROAD, ROCKLEDGE, FL, 32955 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| Florida Limited Liability | 2023-09-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
