| Entity Name: | IMPERIAL MENTAL HEALTH COUNSELING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 Mar 2024 (10 months ago) |
| Document Number: | L24000144395 |
| Address: | 28465 RILEY HARRIS RD, BROOKSVILLE, FL 34602 |
| Mail Address: | 28465 RILEY HARRIS RD, BROOKSVILLE, FL 34602 |
| ZIP code: | 34602 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659129815 | 2024-05-10 | 2024-05-10 | 28465 RILEY HARRIS RD, BROOKSVILLE, FL, 346026428, US | 28465 RILEY HARRIS RD, BROOKSVILLE, FL, 346026428, US | |||||||||||||
|
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| Phone | +1 813-525-3436 |
Authorized person
| Name | ROSA SINGLETARY |
| Role | THERAPIST |
| Phone | 8135253436 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SINGLETARY, ROSA M | Agent | 28465 RILEY HARRIS RD, BROOKSVILLE, FL 34602 |
| Name | Role | Address |
|---|---|---|
| SINGLETARY, ROSA | Authorized Member | 28465 RILEY HARRIS RD, BROOKSVILLE, FL 34602 UN |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-03-25 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
