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BUNGALOW COUNSELING, LLC

Company Details

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

National Provider Identifier

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

Contacts

Phone +1 561-685-6934

Authorized person

Name ADAM COLLING
Role MANAGER
Phone 5616856934

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role Address
COLLING, ADAM Agent 1300 SOUTH OLIVE AVE, WEST PALM BEACH, FL 33401

Manager

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

Documents

Name Date
Florida Limited Liability 2024-10-03

Date of last update: 06 Jan 2025

Sources: Florida Department of State