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SARA J. RILEY, L.M.H.C., P.A.

Company Details

Entity Name: SARA J. RILEY, L.M.H.C., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 29 Mar 1999 (26 years ago)
Document Number: P99000030312
FEI/EIN Number 593573186
Address: 50 Leanni Way B-3, Palm Coast, FL, 32137, US
Mail Address: 14 BRIGADOON LANE, PALM COAST, FL, 32137, US
ZIP code: 32137
County: Flagler
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083161129 2016-09-07 2016-09-07 397 PALM COAST PKWY SW, PALM COAST, FL, 321374776, US 397 PALM COAST PKWY SW, PALM COAST, FL, 321374776, US

Contacts

Phone +1 386-986-2222
Fax 3869862200

Authorized person

Name SARA RILEY
Role OWNER
Phone 3869862222

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role Address
RILEY SARA J Agent 14 BRIGADOON LANE, PALM COAST, FL, 32137

Director

Name Role Address
RILEY SARA J Director 14 BRIGADOON LANE, PALM COAST, FL, 32137

President

Name Role Address
RILEY SARA J President 14 BRIGADOON LANE, PALM COAST, FL, 32137

Secretary

Name Role Address
RILEY SARA J Secretary 14 BRIGADOON LANE, PALM COAST, FL, 32137

Treasurer

Name Role Address
RILEY SARA J Treasurer 14 BRIGADOON LANE, PALM COAST, FL, 32137

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-10 50 Leanni Way B-3, Palm Coast, FL 32137 No data

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-04-10
ANNUAL REPORT 2022-04-08
ANNUAL REPORT 2021-04-07
ANNUAL REPORT 2020-03-25
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-04-16
ANNUAL REPORT 2017-04-18
ANNUAL REPORT 2016-03-19
ANNUAL REPORT 2015-04-15

Date of last update: 01 Feb 2025

Sources: Florida Department of State