Entity Name: | E5 THERAPY INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Foreign Not For Profit Corporation |
Status: | Active |
Date Filed: | 17 Jul 2023 (2 years ago) |
Document Number: | F23000004353 |
FEI/EIN Number | 85-0535020 |
Address: | 333 SUNSET AVE SUITE #200, SUISUN CITY, CA 94585 |
Mail Address: | 333 SUNSET AVE SUITE #200, SUISUN CITY, CA 94585 |
Place of Formation: | CALIFORNIA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1083390124 | 2023-06-23 | 2024-02-09 | 333 SUNSET AVE STE 200, SUISUN CITY, CA, 945852003, US | 410 S WARE BLVD STE 844, TAMPA, FL, 336194469, US | |||||||||||||||||||
|
Phone | +1 707-225-7899 |
Fax | 7077593810 |
Phone | +1 813-362-6788 |
Fax | 8138037348 |
Authorized person
Name | MATTHEW EILERS DECKER |
Role | EXECUTIVE DIRECTOR/BOARD PRESIDENT |
Phone | 6023633156 |
Taxonomy
Taxonomy Code | 101YM0800X - Mental Health Counselor |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BEASLEY, KIMBERLY | Agent | 410 S. WARE BLVD, SUITE 844, TAMPA, FL 33619 |
Name | Role | Address |
---|---|---|
DECKER, MATTHEW | President | 667 CUNARD DRIVE, NAPA, CA 94558 |
Name | Role | Address |
---|---|---|
DECKER, MATTHEW | Executive Director | 667 CUNARD DRIVE, NAPA, CA 94558 |
Name | Role | Address |
---|---|---|
DECKER, LAURA | Vice President | 667 CUNARD DRIVE, NAPA, CA 94558 |
Name | Role | Address |
---|---|---|
Jewell, Lynn Markle | Treasurer | 172 Raleigh Drive, Vacaville, CA 95687 |
Name | Role | Address |
---|---|---|
JEWELL, JEFFREY | Member | 172 RALEIGH DRIVE, VACAVILLE, CA 95687 |
Sheehan, Patrick | Member | 449 San Pablo Street, Fairfield, CA 94553 |
Welling-Upton, Keetra | Member | 1036 Sparrow Lane, Fairfield, CA 94533 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-04 |
Foreign Non-Profit | 2023-07-17 |
Date of last update: 09 Jan 2025
Sources: Florida Department of State