CENTER FOR DYNAMIC HEALING, INCORPORATED

Company Details

Entity Name:	CENTER FOR DYNAMIC HEALING, INCORPORATED
Jurisdiction:	FLORIDA
Filing Type:	Foreign Non-Profit
Status:	Active
Date Filed:	03 Feb 2021 (4 years ago)
Document Number:	F21000000854
FEI/EIN Number	832549846
Address:	1653 SEASCAPE CIR, TARPON SPRINGS, FL, 34689, US
Mail Address:	40946 US HWY 19 N #421, TARPON SPRINGS, FL, 34689, US
ZIP code:	34689
County:	Pinellas
Place of Formation:	COLORADO

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1275004608

2018-12-11

2021-06-14

40946 US HIGHWAY 19 N # 421, TARPON SPRINGS, FL, 346895446, US

Contacts

Phone

+1 224-828-9877

Authorized person

Taxonomy

Taxonomy Code	1041C0700X - Clinical Social Worker
Is Primary	Yes
Taxonomy Code	282J00000X - Religious Nonmedical Health Care Institution
Is Primary	No

Name	Role	Address
BARRETTE LYNN	Agent	1653 SEASCAPE CIR, TARPON SPRINGS, FL, 34689

Name	Role	Address
BARRETTE LYNN	President	1653 SEASCAPE CIR, TARPON SPRINGS, FL, 34689

Name	Role	Address
POPP RICHARD	Director	588 WM LATHAM DR #5, BOURBONNAIS, IL, 60914
Joseph Tamara	Director	PO Box 4365, Clearwater, FL, 33764

Name	Role	Address
VAUGHN BROWN ANNETTE	Secretary	1743 S CORA ST, DES PLAINES, IL, 60018

Name	Role	Address
BUCHHOLZ JAMES	Vice President	3565 LONDONDERRY LN, HOFFMAN ESTATES, IL, 60067

Date of last update: 02 Feb 2025