| Entity Name: | MY WHOLE HEALTH LIFE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Mar 2013 (12 years ago) |
| Document Number: | L13000034932 |
| FEI/EIN Number | 38-3901243 |
| Address: | 6965 PIAZZA GRANDE AVE., SUITE 412, ORLANDO, FL 32835 |
| Mail Address: | 6965 PIAZZA GRANDE AVE., SUITE 412, ORLANDO, FL 32835 |
| ZIP code: | 32835 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770916652 | 2013-08-15 | 2013-08-15 | 6965 PIAZZA GRANDE AVE, ORLANDO, FL, 328358779, US | 6965 PIAZZA GRANDE AVE, ORLANDO, FL, 328358779, US | |||||||||||||||||||||||||||
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| Phone | +1 407-203-5090 |
| Fax | 4072035092 |
Authorized person
| Name | DR. CLEYDE SENA SILVA |
| Role | COUNSELOR |
| Phone | 4072035090 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | LCCC 052784 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | CMHP 50094 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Crofoot, Cleyde S, Dr. | Agent | 6965 Piazza Grande Ave, Orlando, FL 32835 |
| Name | Role | Address |
|---|---|---|
| Crofoot, Cleyde S., Phd | Director | 6965 PIAZZA GRANDE AVE., SUITE 412 ORLANDO, FL 32835 |
| Name | Role | Address |
|---|---|---|
| Crofoot, Cleyde S., Phd | Counselor | 6965 PIAZZA GRANDE AVE., SUITE 412 ORLANDO, FL 32835 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-06-07 | 6965 PIAZZA GRANDE AVE., SUITE 412, ORLANDO, FL 32835 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-06-07 | Crofoot, Cleyde S, Dr. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-25 | 6965 PIAZZA GRANDE AVE., SUITE 412, ORLANDO, FL 32835 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-02 | 6965 Piazza Grande Ave, Orlando, FL 32835 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-03-01 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 22 Feb 2025
Sources: Florida Department of State
