| Entity Name: | CLELLAND COUNSELING & CONSULTING SERVICES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 22 Apr 2010 (15 years ago) |
| Date of dissolution: | 29 Jul 2011 (14 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 29 Jul 2011 (14 years ago) |
| Document Number: | P10000035194 |
| FEI/EIN Number | 272416534 |
| Address: | 620 HELICON TERRACE, SEBASTIAN, FL, 32958 |
| Mail Address: | P.O. BOX 1944, VERO BEACH, FL, 32961 |
| ZIP code: | 32958 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184934671 | 2010-10-18 | 2011-03-16 | 620 HELICON TER, SEBASTIAN, FL, 329585954, US | 620 HELICON TER, SEBASTIAN, FL, 329585954, US | |||||||||||||||||||||||
|
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| Phone | +1 772-643-2838 |
Authorized person
| Name | MS. GAYLE L. CLELLAND |
| Role | PSYCHOTHERAPIST/OWNER |
| Phone | 7726432838 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| License Number | SW9419 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NATIONAL PROVIDER IDENTIFIER |
| Number | 1598842528 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CLELLAND GAYLE L | Agent | 620 HELICON TERRACE, SEBASTIAN, FL, 32958 |
| Name | Role | Address |
|---|---|---|
| CLELLAND GAYLE L | Director | 620 HELICON TERRACE, SEBASTIAN, FL, 32958 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2011-07-29 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-03-22 | 620 HELICON TERRACE, SEBASTIAN, FL 32958 | No data |
| CHANGE OF MAILING ADDRESS | 2011-03-22 | 620 HELICON TERRACE, SEBASTIAN, FL 32958 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-03-22 | 620 HELICON TERRACE, SEBASTIAN, FL 32958 | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2011-07-29 |
| ANNUAL REPORT | 2011-03-22 |
| Domestic Profit | 2010-04-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
