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EMERALD BREEZE COUNSELING LLC

Company Details

Entity Name: EMERALD BREEZE COUNSELING LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 May 2024 (9 months ago)
Document Number: L24000211102
FEI/EIN Number 992989771
Address: 1333 College Parkway Unit #677, Gulf Breeze, FL, 32563, US
Mail Address: 1333 College Parkway Unit #677, Gulf Breeze, FL, 32563, US
ZIP code: 32563
County: Santa Rosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952150005 2024-05-13 2024-05-29 1333 COLLEGE PKWY UNIT 677, GULF BREEZE, FL, 325632711, US 1333 COLLEGE PKWY UNIT 677, GULF BREEZE, FL, 325632711, US

Contacts

Phone +1 850-361-8360

Authorized person

Name JULIA TEETOR
Role OWNER & LMHC/LPC
Phone 8503618360

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role
NORTHWEST REGISTERED AGENT LLC Agent

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-05-20 1333 College Parkway Unit #677, Gulf Breeze, FL 32563 No data
CHANGE OF MAILING ADDRESS 2024-05-20 1333 College Parkway Unit #677, Gulf Breeze, FL 32563 No data

Documents

Name Date
Florida Limited Liability 2024-05-06

Date of last update: 01 Feb 2025

Sources: Florida Department of State