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WILDLY AUTHENTIC COUNSELING, LLC

Branch

Company Details

Entity Name: WILDLY AUTHENTIC COUNSELING, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Company
Status: Active
Date Filed: 26 Jan 2022 (3 years ago)
Branch of: WILDLY AUTHENTIC COUNSELING, LLC, COLORADO (Company Number 20201603585)
Last Event: LC NAME CHANGE
Event Date Filed: 06 Feb 2023 (2 years ago)
Document Number: M22000001835
FEI/EIN Number 85-3579097
Address: 630 Kingsley Ave., Orange Park, FL 32073
Mail Address: 175 Se Apache Way, Lake City, FL 32025
ZIP code: 32073
County: Clay
Place of Formation: COLORADO

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053086793 2021-08-13 2024-06-25 630 KINGSLEY AVE, ORANGE PARK, FL, 320735465, US 12443 SAN JOSE BLVD STE 202, JACKSONVILLE, FL, 322238648, US

Contacts

Phone +1 904-885-8278
Phone +1 904-337-9040

Authorized person

Name AMY KRISTINE SCHAET
Role OWNER
Phone 9048858278

Taxonomy

Taxonomy Code 101YP2500X - Professional Counselor
Is Primary Yes

Agent

Name Role Address
SCHAET, AMY Agent 175 Se Apache Way, Lake City, FL 32025

Manager

Name Role Address
SCHAET, AMY Manager 175 Se Apache Way, Lake City, FL 32025

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-07-11 630 Kingsley Ave., Orange Park, FL 32073 No data
CHANGE OF MAILING ADDRESS 2023-09-22 630 Kingsley Ave., Orange Park, FL 32073 No data
REGISTERED AGENT ADDRESS CHANGED 2023-09-22 175 Se Apache Way, Lake City, FL 32025 No data
LC NAME CHANGE 2023-02-06 WILDLY AUTHENTIC COUNSELING, LLC No data

Documents

Name Date
ANNUAL REPORT 2024-03-21
ANNUAL REPORT 2023-09-22
LC Name Change 2023-02-06
Foreign Limited 2022-01-26

Date of last update: 13 Jan 2025

Sources: Florida Department of State