| Entity Name: | LIVING WELL COUNSELING AND CONSULTING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Feb 2024 (a year ago) |
| Document Number: | L24000061295 |
| Address: | 13451 RED MAPLE CIR, NORTH FORT MYERS, FL 33903 |
| Mail Address: | 13451 RED MAPLE CIR, NORTH FORT MYERS, FL 33903 |
| ZIP code: | 33903 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891537668 | 2024-06-11 | 2024-07-09 | 8359 BEACON BLVD STE 514, FORT MYERS, FL, 339073066, US | 8359 BEACON BLVD STE 514, FORT MYERS, FL, 339073066, US | |||||||||||||||||||||
|
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| Phone | +1 239-940-7025 |
Authorized person
| Name | VICKI LYNNE BONHAM |
| Role | DIRECTOR |
| Phone | 2399407025 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BONHAM, VICKI | Agent | 13451 RED MAPLE CIR, NORTH FORT MYERS, FL 33903 |
| Name | Role | Address |
|---|---|---|
| BONHAM, VICKI | Authorized Member | 13451 RED MAPLE CIR, NORTH FORT MYERS, FL 33903 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-02-02 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
