Entity Name: | KAREN BURNHAM COUNSELING, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 24 Jan 2024 (a year ago) |
Document Number: | L24000046511 |
Address: | 12627 SAN JOSE BLVD, SUITE 301, JACKSONVILLE, FL 32223 |
Mail Address: | 805 GOLF MANOR COURT, SAINT JOHNS, FL 32259 |
ZIP code: | 32223 |
County: | Duval |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1124870340 | 2024-04-02 | 2024-04-02 | 12627 SAN JOSE BLVD STE 301, JACKSONVILLE, FL, 322238639, US | 12627 SAN JOSE BLVD STE 301, JACKSONVILLE, FL, 322238639, US | |||||||||||||
|
Phone | +1 904-458-5787 |
Authorized person
Name | KAREN E BURNHAM |
Role | THERAPIST |
Phone | 9044585787 |
Taxonomy
Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BURNHAM, KAREN E | Agent | 805 GOLF MANOR COURT, SAINT JOHNS, FL 32259 |
Name | Role | Address |
---|---|---|
BURNHAM, KAREN E | Authorized Member | 805 GOLF MANOR COURT, SAINT JOHNS, FL 32259 |
Name | Date |
---|---|
Florida Limited Liability | 2024-01-24 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State