| Entity Name: | COLLECTIVE LIVING COUNSELING SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 14 Mar 2024 (a year ago) |
| Document Number: | L24000128879 |
| Address: | 510 NORTH A STREET, PENSACOLA, FL 32501 |
| Mail Address: | 510 NORTH A STREET, PENSACOLA, FL 32501 |
| ZIP code: | 32501 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992558696 | 2024-04-10 | 2024-07-17 | 1300 N PALAFOX ST STE 102C, PENSACOLA, FL, 325012678, US | 1300 N PALAFOX ST STE 102C, PENSACOLA, FL, 325012678, US | |||||||||||||||||||||
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| Phone | +1 850-396-1673 |
| Fax | 8503207601 |
| Phone | +1 850-623-6478 |
Authorized person
| Name | MS. HAILEY CURRINGTON |
| Role | OWNER |
| Phone | 9855181581 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CURRINGTON, HAILEY D | Agent | 510 NORTH A STREET, PENSACOLA, FL 32501 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-03-14 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
