| Entity Name: | WAY OF LIFE TCM LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 18 Nov 2011 (13 years ago) |
| Date of dissolution: | 23 May 2014 (11 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 23 May 2014 (11 years ago) |
| Document Number: | L11000131373 |
| FEI/EIN Number | 453831087 |
| Address: | 1221 W COLONIAL DRIVE, SUITE 104, ORLANDO, FL, 32804, US |
| Mail Address: | 1221 W COLONIAL DRIVE, SUITE 104, ORLANDO, FL, 32804, US |
| ZIP code: | 32804 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033457833 | 2013-01-29 | 2013-01-29 | 1221 W COLONIAL DR, SUITE 100, ORLANDO, FL, 328047163, US | 1221 W COLONIAL DR, SUITE 100, ORLANDO, FL, 328047163, US | |||||||||||||||||||||||||
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| Phone | +1 407-287-6075 |
| Fax | 4073472093 |
Authorized person
| Name | TREVOR THOMAS |
| Role | CEO |
| Phone | 4072876075 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| License Number | 004873100 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004873100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| THOMAS LAKEISHA T | Agent | 3733 WEETAMOO CIRCLE, ORLANDO, FL, 32818 |
| Name | Role | Address |
|---|---|---|
| THOMAS TREVOR S | Manager | 3733 WEETAMOO CIRCLE, ORLANDO, FL, 32818 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2014-05-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-03-06 | 1221 W COLONIAL DRIVE, SUITE 104, ORLANDO, FL 32804 | No data |
| CHANGE OF MAILING ADDRESS | 2013-03-06 | 1221 W COLONIAL DRIVE, SUITE 104, ORLANDO, FL 32804 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2014-05-23 |
| ANNUAL REPORT | 2014-03-06 |
| ANNUAL REPORT | 2013-03-06 |
| ANNUAL REPORT | 2012-04-09 |
| Florida Limited Liability | 2011-11-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
