| Entity Name: | METAMORPHOSIS THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Jun 2010 (15 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 23 Apr 2014 (11 years ago) |
| Document Number: | L10000059750 |
| FEI/EIN Number | 272789386 |
| Address: | 1450 Daniels Road, Winter Garden, FL, 34787, US |
| Mail Address: | 13750 West Colonial Drive, Suite 350-121, WINTER GARDEN, FL, 34787, US |
| ZIP code: | 34787 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477008407 | 2016-08-19 | 2023-08-22 | 13750 W COLONIAL DR STE 350-121, WINTER GARDEN, FL, 347874204, US | 1450 DANIELS RD, WINTER GARDEN, FL, 347874376, US | |||||||||||||||||||||||||
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| Phone | +1 407-395-9976 |
| Fax | 4079929368 |
Authorized person
| Name | BRIDGETT ELAINE DIMANT |
| Role | OWNER |
| Phone | 4072857907 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | No |
| Taxonomy Code | 106S00000X - Behavior Technician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 017434700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DIMANT BRIDGETT | Agent | 2008 Harbor Cove Way, WINTER GARDEN, FL, 34787 |
| Name | Role | Address |
|---|---|---|
| DIMANT BRIDGETT | Managing Member | 2008 Harbor Cove Way, WINTER GARDEN, FL, 34787 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000075788 | BEE YOUNIQUE AUTISM LEARNING CENTER | ACTIVE | 2022-06-23 | 2027-12-31 | No data | 1450 DANIELS ROAD, WINTER GARDEN, FL, 34787 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-08-13 | 1450 Daniels Road, Winter Garden, FL 34787 | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-10 | 1450 Daniels Road, Winter Garden, FL 34787 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-10 | 2008 Harbor Cove Way, WINTER GARDEN, FL 34787 | No data |
| REINSTATEMENT | 2014-04-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-04-17 | DIMANT, BRIDGETT | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-02-11 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-24 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-01-10 |
| ANNUAL REPORT | 2017-03-09 |
| ANNUAL REPORT | 2016-03-04 |
| ANNUAL REPORT | 2015-02-19 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1103897403 | 2020-05-03 | 0491 | PPP | 301 South Tubb Street, Oakland, FL, 34760 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6337768401 | 2021-02-10 | 0491 | PPS | 301 S Tubb St, Oakland, FL, 34760-8859 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State
