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NEURODIVERGENT COUNSELING COLLECTIVE, LLC

Company Details

Entity Name: NEURODIVERGENT COUNSELING COLLECTIVE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Sep 2023 (a year ago)
Document Number: L23000435593
FEI/EIN Number 59-4064660
Address: 114 WEST HILDA STREET, TAMPA, FL, 33603, US
Mail Address: 114 WEST HILDA STREET, TAMPA, FL, 33603, US
ZIP code: 33603
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730960345 2023-10-10 2023-10-10 114 W HILDA ST, TAMPA, FL, 336033658, US 114 W HILDA ST, TAMPA, FL, 336033658, US

Contacts

Phone +1 813-507-1597

Authorized person

Name KAYLA HOAG
Role RMHI
Phone 8132447036

Taxonomy

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

Agent

Name Role Address
LYNCH ALEXIS M Agent 114 WEST HILDA STREET, TAMPA, FL, 33603

Manager

Name Role Address
LYNCH TONEY Manager 114 WEST HILDA STREET, TAMPA, FL, 33603

Documents

Name Date
ANNUAL REPORT 2024-04-04
Florida Limited Liability 2023-09-19

Date of last update: 01 Feb 2025

Sources: Florida Department of State