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E5 THERAPY INC.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
BEASLEY, KIMBERLY Agent 410 S. WARE BLVD, SUITE 844, TAMPA, FL 33619

President

Name Role Address
DECKER, MATTHEW President 667 CUNARD DRIVE, NAPA, CA 94558

Executive Director

Name Role Address
DECKER, MATTHEW Executive Director 667 CUNARD DRIVE, NAPA, CA 94558

Vice President

Name Role Address
DECKER, LAURA Vice President 667 CUNARD DRIVE, NAPA, CA 94558

Treasurer

Name Role Address
Jewell, Lynn Markle Treasurer 172 Raleigh Drive, Vacaville, CA 95687

Member

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

Documents

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