| Entity Name: | TREEHOUSE THERAPIES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Nov 2010 (14 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 16 Jan 2014 (11 years ago) |
| Document Number: | L10000115385 |
| FEI/EIN Number | 273914679 |
| Address: | 24 Hollywood Blvd, Suite 7, Fort Walton Beach, FL, 32548, US |
| Mail Address: | 24 Hollywood Blvd, Suite 7, Fort Walton Beach, FL, 32548, US |
| ZIP code: | 32548 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083380828 | 2021-08-20 | 2021-08-20 | 24 HOLLYWOOD BLVD SW STE 7, FORT WALTON BEACH, FL, 325484893, US | 24 HOLLYWOOD BLVD SW STE 7, FORT WALTON BEACH, FL, 325484893, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 850-226-7411 |
| Fax | 8502267496 |
Authorized person
| Name | TEHRA MCCLELLAN |
| Role | OWNER |
| Phone | 8502267411 |
Taxonomy
| Taxonomy Code | 2251P0200X - Pediatric Physical Therapist |
| Is Primary | Yes |
| Taxonomy Code | 225XP0200X - Pediatric Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008899400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WALKER TEHRA M | Agent | 24 Hollywood Blvd, Fort Walton Beach, FL, 32548 |
| Name | Role | Address |
|---|---|---|
| WALKER TEHRA M | Managing Member | 4030 Broken Arrow Ct, Destin, FL, 32541 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-04-27 | WALKER, TEHRA MCCLELLAN | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-05-08 | 24 Hollywood Blvd, Suite 7, Fort Walton Beach, FL 32548 | No data |
| CHANGE OF MAILING ADDRESS | 2017-05-08 | 24 Hollywood Blvd, Suite 7, Fort Walton Beach, FL 32548 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-05-08 | 24 Hollywood Blvd, Suite 7, Fort Walton Beach, FL 32548 | No data |
| LC AMENDMENT AND NAME CHANGE | 2014-01-16 | TREEHOSE THERAPIES, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-04-22 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-07-20 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-03-30 |
| ANNUAL REPORT | 2017-05-08 |
| ANNUAL REPORT | 2016-04-18 |
| ANNUAL REPORT | 2015-04-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
