Entity Name: | BUNGALOW COUNSELING, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 03 Oct 2024 (4 months ago) |
Document Number: | L24000428027 |
Address: | 1300 SOUTH OLIVE AVE, WEST PALM BEACH, FL 33401 |
Mail Address: | 1300 SOUTH OLIVE AVE, WEST PALM BEACH, FL 33401 |
ZIP code: | 33401 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1255151643 | 2024-10-11 | 2024-10-11 | 734 NEW YORK ST, WEST PALM BEACH, FL, 334016602, US | 1300 S OLIVE AVE, WEST PALM BEACH, FL, 334016724, US | |||||||||||||
|
Phone | +1 561-685-6934 |
Authorized person
Name | ADAM COLLING |
Role | MANAGER |
Phone | 5616856934 |
Taxonomy
Taxonomy Code | 101YM0800X - Mental Health Counselor |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
COLLING, ADAM | Agent | 1300 SOUTH OLIVE AVE, WEST PALM BEACH, FL 33401 |
Name | Role | Address |
---|---|---|
COLLING, ADAM S | Manager | 1300 SOUTH OLIVE AVE, WEST PALM BEACH, FL 33401 |
SMITH, SARAH C | Manager | 1300 SOUTH OLIVE AVE, WEST PALM BEACH, FL 33401 |
Name | Date |
---|---|
Florida Limited Liability | 2024-10-03 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State