| Entity Name: | LAUREN REEVES COUNSELING, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 14 Jul 2021 (4 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 17 Aug 2022 (2 years ago) |
| Document Number: | P21000064359 |
| FEI/EIN Number | 87-1777588 |
| Address: | 5447 N MURPHY RD, JAY, FL 32565 |
| Mail Address: | 5447 N MURPHY RD, JAY, FL 32565 |
| ZIP code: | 32565 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255859146 | 2017-08-31 | 2024-07-25 | 5447 N MURPHY RD, JAY, FL, 325651213, US | 5447 N MURPHY RD, JAY, FL, 325651213, US | |||||||||||||||||||||
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| Phone | +1 352-317-2619 |
| Fax | 8502041649 |
Authorized person
| Name | LAUREN REEVES |
| Role | OWNER |
| Phone | 3523172619 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FL BLUE |
| Number | JP4GD |
| State | FL |
| Name | Role | Address |
|---|---|---|
| REEVES, LAUREN E | Agent | 5447 N MURPHY RD, JAY, FL 32565 |
| Name | Role | Address |
|---|---|---|
| REEVES, LAUREN E | President | 5447 N MURPHY RD, JAY, FL 32565 |
| Name | Role | Address |
|---|---|---|
| REEVES, LAUREN E | Secretary | 5447 N MURPHY RD, JAY, FL 32565 |
| Name | Role | Address |
|---|---|---|
| REEVES, COREY | Treasurer | 5447 N MURPHY ROAD, JAY, FL 32565 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2022-08-17 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-03-26 |
| Amendment | 2022-08-17 |
| ANNUAL REPORT | 2022-04-13 |
| Domestic Profit | 2021-07-14 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
