| Entity Name: | DECKER THERAPY SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Oct 2010 (14 years ago) |
| Document Number: | L10000108153 |
| FEI/EIN Number | 273689362 |
| Address: | 4810 W Gandy Boulevard, TAMPA, FL, 33611, US |
| Mail Address: | 4810 W Gandy Boulevard, TAMPA, FL, 33611, US |
| ZIP code: | 33611 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417371139 | 2014-02-17 | 2021-08-19 | 4810 W GANDY BLVD, TAMPA, FL, 336113003, US | 4810 W GANDY BLVD, TAMPA, FL, 336113003, US | |||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 813-380-8230 |
| Fax | 8139919504 |
Authorized person
| Name | DEBORAH DECKER MAGERS |
| Role | CEO/SPEECH PATHOLOGIST |
| Phone | 8133808230 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | No |
| Taxonomy Code | 106S00000X - Behavior Technician |
| Is Primary | No |
| Taxonomy Code | 225XP0200X - Pediatric Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA7810 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 014536800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MAGERS DEBORAH D | Agent | 4308 Sunray Court, TAMPA, FL, 33615 |
| Name | Role | Address |
|---|---|---|
| MAGERS DEBORAH D | Manager | 4308 Sunray Court, TAMPA, FL, 33615 |
| Name | Role | Address |
|---|---|---|
| Magers James S | Auth | 4308 Sunray Court, Tampa, FL, 33615 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-02 | 4810 W Gandy Boulevard, TAMPA, FL 33611 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-02 | 4810 W Gandy Boulevard, TAMPA, FL 33611 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-06-11 | 4308 Sunray Court, TAMPA, FL 33615 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-02 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-03-01 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-03-01 |
| ANNUAL REPORT | 2017-06-15 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
