| Entity Name: | METANOIA INTEGRATIVE COUNSELING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Aug 2024 (6 months ago) |
| Document Number: | L24000374548 |
| FEI/EIN Number | 99-4713833 |
| Address: | 510 COUNTY RD 466, SUITE 207 (OFFICE #B), LADY LAKE, FL 32159 |
| Mail Address: | 1313 MAUGANS AVENUE, LEESBURG, FL 34748 |
| ZIP code: | 32159 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306672407 | 2024-09-13 | 2024-09-13 | 1313 MAUGANS AVE, LEESBURG, FL, 347484030, US | 510 CO RD 466, SUITE 207 OFFICE B, LADY LAKE, FL, 32159, US | |||||||||||||||||||||
|
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| Phone | +1 908-528-1301 |
Authorized person
| Name | MR. JUSTIN L HOECK |
| Role | OWNER / THERAPIST |
| Phone | 9085281301 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| HOECK, JUSTIN L | Agent | 1313 MAUGANS AVENUE, LEESBURG, FL 34748 |
| Name | Role | Address |
|---|---|---|
| HOECK, JUSTIN L | Manager | 1313 MAUGANS AVENUE, LEESBURG, FL 34748 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-08-26 |
Date of last update: 07 Feb 2025
Sources: Florida Department of State
