| Entity Name: | FLORIDA COAST COUNSELING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Jan 2024 (a year ago) |
| Document Number: | L24000011267 |
| Address: | 3443 Pine Ridge Road,, Unit 101, naples, FL 34109 |
| Mail Address: | 2430 VANDERBILT BEACH ROAD, SUITE 108, NAPLES, FL 34109 |
| ZIP code: | 34109 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457122038 | 2024-01-11 | 2024-09-13 | 2430 VANDERBILT BEACH RD STE 108, NAPLES, FL, 341092654, US | 3443 PINE RIDGE RD STE 101, NAPLES, FL, 341093926, US | |||||||||||||||||
|
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| Phone | +1 239-427-1833 |
Authorized person
| Name | DR. REBECCA ANDERSON |
| Role | CO-OWNER / PSYCHOLOGIST |
| Phone | 4132465499 |
Taxonomy
| Taxonomy Code | 103TC1900X - Counseling Psychologist |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHUTOK, CHRISTY | Agent | 2430 VANDERBILT BEACH ROAD, SUITE 108, NAPLES, FL 34109 |
| Name | Role | Address |
|---|---|---|
| SHUTOK, CHRISTY | Manager | 1254 COOPER DRIVE, NAPLES, FL 34103 |
| ANDERSON, REBECCA | Manager | 2197 PINEWOODS CIRCLE, NAPLES, FL 34105 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-18 | 3443 Pine Ridge Road,, Unit 101, naples, FL 34109 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-01-04 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
