| Entity Name: | WELL ROOTED COUNSELING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 Aug 2024 (6 months ago) |
| Document Number: | L24000362379 |
| Address: | 4251 SHAMROCK DRIVE, VENICE, FL 34293 |
| Mail Address: | 4251 SHAMROCK DRIVE, VENICE, FL 34293 |
| ZIP code: | 34293 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528894573 | 2024-09-09 | 2024-09-12 | 4251 SHAMROCK DR, VENICE, FL, 342935661, US | 4251 SHAMROCK DR, VENICE, FL, 342935661, US | |||||||||||||||||
|
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| Phone | +1 719-985-7668 |
Authorized person
| Name | LAURA ANN BELLAMY |
| Role | LICENSED MENTAL HEALTH COUNSELOR |
| Phone | 7199857668 |
Taxonomy
| Taxonomy Code | 101YP2500X - Professional Counselor |
| Is Primary | Yes |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BELLAMY, LAURA A | Agent | 4251 SHAMROCK DRIVE, VENICE, FL 34293 |
| Name | Role | Address |
|---|---|---|
| BELLAMY, ZACKARY W | MR. | 4251 SHAMROCK DRIVE, VENICE, FL 34293 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-08-19 |
Date of last update: 07 Feb 2025
Sources: Florida Department of State
