| Entity Name: | BREAKING BHAD COUNSELING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Jun 2024 (7 months ago) |
| Document Number: | L24000293099 |
| Address: | 1800 PEMBROOK DRIVE, SUITE 300, ORLANDO, FL 32810 |
| Mail Address: | 1800 PEMBROOK DRIVE, SUITE 300, ORLANDO, FL 32810 |
| ZIP code: | 32810 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104661024 | 2024-07-01 | 2024-07-01 | 1800 PEMBROOK DR STE 300, ORLANDO, FL, 328106378, US | 1800 PEMBROOK DR STE 300, ORLANDO, FL, 328106378, US | |||||||||||||||||
|
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| Phone | +1 407-900-4825 |
Authorized person
| Name | MALIK JIMAINE AKBAR |
| Role | OWNER/CLINICAL THERAPIST |
| Phone | 4079004825 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| AKBAR, MALIK J | Agent | 1800 PEMBROOK DRIVE, SUITE 300, ORLANDO, FL 32810 |
| Name | Role | Address |
|---|---|---|
| AKBAR, MALIK J | Chief Executive Officer | 1800 PEMBROOK DRIVE, SUITE 300, ORLANDO, FL 32810 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-06-28 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
