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SANCTUARY AT WINDSONG PLLC

Company Details

Entity Name: SANCTUARY AT WINDSONG PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 08 Jan 2013 (12 years ago)
Date of dissolution: 06 Jun 2019 (6 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 06 Jun 2019 (6 years ago)
Document Number: L13000004127
FEI/EIN Number 46-2495904
Mail Address: 1238 SW AVENS STREET, PORT SAINT LUCIE, FL 34983
Address: 4501 SW YAMADA DRIVE, PORT SAINT LUCIE, FL 34953
ZIP code: 34953
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215393400 2016-01-05 2016-01-05 1238 SW AVENS STREET, PORT SAINT LUCIE, FL, 34983, US 2806 S US HIGHWAY 1, C7, FORT PIERCE, FL, 349828109, US

Contacts

Phone +1 863-877-6757
Phone +1 772-465-4044

Authorized person

Name BRETT LIEBERMAN
Role CEO
Phone 7724654044

Taxonomy

Taxonomy Code 101YA0400X - Addiction (Substance Use Disorder) Counselor
License Number MT2766
State FL
Is Primary Yes
Taxonomy Code 101YM0800X - Mental Health Counselor
License Number MT2766
State FL
Is Primary No
Taxonomy Code 106H00000X - Marriage & Family Therapist
License Number MT2766
State FL
Is Primary No

Agent

Name Role Address
LIEBERMAN, BRETT Agent 1238 SW AVENS STREET, PORT SAINT LUCIE, FL 34983

Managing Member

Name Role Address
LIEBERMAN, BRETT Managing Member 4501 SW YAMADA DRIVE, PORT SAINT LUCIE, FL 34953

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000109260 WINDSONG WELLNESS EXPIRED 2015-10-27 2020-12-31 No data 1238 SW AVENS STREET, PORT SAINT LUCIE, FL, 34983

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2019-06-06 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2019-06-06
ANNUAL REPORT 2018-03-30
ANNUAL REPORT 2017-04-30
ANNUAL REPORT 2016-04-30
ANNUAL REPORT 2015-04-19
ANNUAL REPORT 2014-04-28
Florida Limited Liability 2013-01-08

Date of last update: 23 Jan 2025

Sources: Florida Department of State