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CENTER OF LIFE HEALTH, INC.

CENTER OF LIFE HEALTH, INC.

Company Details

Entity Name:	CENTER OF LIFE HEALTH, INC.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Inactive
Date Filed:	13 Feb 1997 (28 years ago)
Document Number:	P97000015334
FEI/EIN Number	650756183
Address:	322 S.W.OCEAN BLVD, STUART, FL, 34994, UN
Mail Address:	322 S.W.OCEAN BLVD, STUART, FL, 34994
ZIP code:	34994
County:	Martin
Place of Formation:	FLORIDA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1750453270

2006-11-14

2010-10-06

322 SW OCEAN BLVD, STUART, FL, 34994, US

322 SW OCEAN BLVD, STUART, FL, 34994, US

Contacts

Phone	+1 772-220-4556
Fax	7722202214

Authorized person

Name	MS. KATHLEEN SUE FULLER
Role	DIRECTOR
Phone	7722204556

Taxonomy

Taxonomy Code	101YA0400X - Addiction (Substance Use Disorder) Counselor
License Number	MH3692
State	FL
Is Primary	Yes
Taxonomy Code	101YP2500X - Professional Counselor
License Number	MH3692
State	FL
Is Primary	No

Agent

Name	Role	Address
FULLER KATHLEEN	Agent	322 S.W. OCEAN BLVD., STUART, FL, 34994

President

Name	Role	Address
FULLER KATHLEEN	President	322 S.W. OCEAN BLVD, STUART, FL, 34994

Secretary

Name	Role	Address
FULLER KATHLEEN	Secretary	322 S.W. OCEAN BLVD, STUART, FL, 34994

Treasurer

Name	Role	Address
FULLER KATHLEEN	Treasurer	322 S.W. OCEAN BLVD, STUART, FL, 34994
CROUCH SHANNON	Treasurer	97214 ARBIR OAKS LANE, BOCA RATON, FL, 33428

Director

Name	Role	Address
FULLER KATHLEEN	Director	322 S.W. OCEAN BLVD, STUART, FL, 34994

Vice President

Name	Role	Address
CROUCH DANIELLE	Vice President	322 W OCEAN BLVD, STUART, FL, 34994

Events

Event Type	Filed Date	Value	Description
ADMIN DISSOLUTION FOR ANNUAL REPORT	2016-09-23	No data	No data

Date of last update: 02 Jan 2025

Sources: Florida Department of State