| Entity Name: | ALLEN THERAPY SERVICES, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 May 2008 (17 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 23 Oct 2017 (7 years ago) |
| Document Number: | L08000052555 |
| FEI/EIN Number | 510677743 |
| Address: | 660 Spanish Wells Road, JACKSONVILLE, FL, 32218, US |
| Mail Address: | 660 Spanish Wells Road, JACKSONVILLE, FL, 32218, US |
| ZIP code: | 32218 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669613832 | 2009-03-17 | 2024-10-18 | 660 SPANISH WELLS RD, JACKSONVILLE, FL, 322188926, US | 2103 GILMORE ST, JACKSONVILLE, FL, 322043211, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-465-0178 |
| Fax | 9047705596 |
Authorized person
| Name | LORI M ALLEN |
| Role | OWNER |
| Phone | 9044650178 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | 5457 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 252Y00000X - Early Intervention Provider Agency |
| License Number | EXEMPT |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000468800 |
| State | FL |
| Issuer | MEDICAID |
| Number | 000712000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Allen Lori M | Agent | 660 Spanish Wells Road, JACKSONVILLE, FL, 32218 |
| Name | Role | Address |
|---|---|---|
| ALLEN LORI M | Manager | 660 Spanish Wells Road, JACKSONVILLE, FL, 32218 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000116260 | TRIBE PEDIATRIC REHABILITATION, PLLC | ACTIVE | 2024-09-17 | 2029-12-31 | No data | 2103 GILMORE STREET, JACKSONVILLE, FL, 32204 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-01-24 | Allen, Lori M. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-06 | 660 Spanish Wells Road, JACKSONVILLE, FL 32218 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-06 | 660 Spanish Wells Road, JACKSONVILLE, FL 32218 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-06 | 660 Spanish Wells Road, JACKSONVILLE, FL 32218 | No data |
| REINSTATEMENT | 2017-10-23 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| LC DISSOCIATION MEM | 2014-09-10 | No data | No data |
| LC NAME CHANGE | 2008-06-20 | ALLEN THERAPY SERVICES, PLLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-20 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-02-06 |
| ANNUAL REPORT | 2020-07-11 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-03-06 |
| REINSTATEMENT | 2017-10-23 |
| ANNUAL REPORT | 2016-02-07 |
| ANNUAL REPORT | 2015-04-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
