| Entity Name: | DANIELLE FORMA LPC, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 09 Jun 2021 |
| Business ALEI: | 1395226 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621330 - Offices of Mental Health Practitioners (except Physicians) |
| Business address: | 6515 Main Street, TRUMBULL, CT, 06611, United States |
| Mailing address: | 19 TOPAZ LN., TRUMBULL, CT, United States, 06611 |
| ZIP code: | 06611 |
| County: | Fairfield |
| Place of Formation: | CONNECTICUT |
| E-Mail: | DANIELLEFORMACOUNSELING@GMAIL.COM |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| NOEL FORMA | Agent | 19 TOPAZ LN., TRUMBULL, CT, 06611, United States | 19 TOPAZ LN., TRUMBULL, CT, 06611, United States | +1 203-520-1964 | psuaxp@aol.com | 2507 POST ROAD, 3RD FLOOR, SOUTHPORT, CT, 06890, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| DANIELLE FORMA | Officer | 19 TOPAZ LN., TRUMBULL, CT, 06611, United States | 19 TOPAZ LN., TRUMBULL, CT, 06611, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012336259 | 2024-01-17 | No data | Annual Report | Annual Report | No data |
| BF-0011106748 | 2023-01-16 | No data | Annual Report | Annual Report | No data |
| BF-0010408941 | 2022-01-29 | No data | Annual Report | Annual Report | 2022 |
| 0007362600 | 2021-06-09 | 2021-06-09 | Business Formation | Certificate of Organization | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
