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TRANSFORMATION HAVEN COUNSELING LLC

Company Details

Entity Name: TRANSFORMATION HAVEN COUNSELING LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 22 Feb 2024 (a year ago)
Document Number: L24000093309
FEI/EIN Number 99-1590624
Address: 1600 SARNO RD, STE 12, MELBOURNE, FL 32935
Mail Address: 1600 SARNO RD, STE 12, MELBOURNE, FL 32935
ZIP code: 32935
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821846023 2024-05-11 2024-07-20 1600 SARNO RD STE 12, MELBOURNE, FL, 329354993, US 1600 SARNO RD STE 12, MELBOURNE, FL, 329354993, US

Contacts

Phone +1 321-622-4066
Fax 3213062879

Authorized person

Name TONIA L MEYERS
Role LMHC/EXECUTIVE DIRECTOR/FOUNDER
Phone 3219142126

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role Address
MEYERS, TONIA L Agent 1715 GOULD AVE SW, PALM BAY, FL 32908

Manager

Name Role Address
MEYERS, TONIA L Manager 1715 GOULD AVE SW, PALM BAY, FL 32908

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-09-18 1600 SARNO RD, STE 12, MELBOURNE, FL 32935 No data
CHANGE OF PRINCIPAL ADDRESS 2024-03-07 1600 SARNO RD, STE 12, MELBOURNE, FL 32935 No data

Documents

Name Date
Florida Limited Liability 2024-02-22

Date of last update: 08 Jan 2025

Sources: Florida Department of State