| Entity Name: | COASTAL CONNECTIONS COUNSELING, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 31 Jul 2024 (6 months ago) |
| Document Number: | P24000050218 |
| Address: | 2700 BAYSHORE BLVD, APT 507, DUNEDIN, FL 34698 |
| Mail Address: | 2700 BAYSHORE BLVD, APT 507, DUNEDIN, FL 34698 |
| ZIP code: | 34698 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376379644 | 2024-09-12 | 2024-09-12 | 34921 US HIGHWAY 19 N STE 210, PALM HARBOR, FL, 346841969, US | 34921 US HIGHWAY 19 N STE 210, PALM HARBOR, FL, 346841969, US | |||||||||||||
|
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| Phone | +1 727-476-7415 |
Authorized person
| Name | KRISTAL DULLECK |
| Role | CEO |
| Phone | 3034190730 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DULLECK, KRISTAL A | Agent | 2700 BAYSHORE BLVD, APT 507, DUNEDIN, FL 34698 |
| Name | Role | Address |
|---|---|---|
| DULLECK, KRISTAL A | Chief Executive Officer | 2700 BAYSHORE BLVD APT 507, DUNEDIN, FL 34698 |
| Name | Role | Address |
|---|---|---|
| OTTO, JAMES D | Secretary | 2700 BAYSHORE BLVD APT 507, DUNEDIN, FL 34698 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-07-31 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
