| Entity Name: | SMALL TALK SLP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Mar 2013 (12 years ago) |
| Document Number: | L13000035780 |
| FEI/EIN Number | 46-2320351 |
| Address: | 1874 CHARDONNAY PLACE, TALLAHASSEE, FL, 32317, US |
| Mail Address: | 1874 CHARDONNAY PLACE, TALLAHASSEE, FL, 32317, US |
| ZIP code: | 32317 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962848556 | 2013-05-22 | 2013-05-22 | 6746 WALDEN CIR, TALLAHASSEE, FL, 323178485, US | 6746 WALDEN CIR, TALLAHASSEE, FL, 323178485, US | |||||||||||||||||||||||||||||||
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| Phone | +1 850-559-7884 |
| Fax | 8507270824 |
Authorized person
| Name | MRS. ASHLEY TUCKER |
| Role | OWNER |
| Phone | 8505597884 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA 9219 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 890824900 |
| State | FL |
| Issuer | MEDICAID |
| Number | 006532500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CAZZANIGA DIANNA L | Agent | 1910 TY TY COURT, TALLAHASSEE, FL, 32308 |
| Name | Role | Address |
|---|---|---|
| TUCKER ASHLEY B | Managing Member | 1874 CHARDONNAY PLACE, TALLAHASSEE, FL, 32317 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-24 | 1874 CHARDONNAY PLACE, TALLAHASSEE, FL 32317 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-24 | 1874 CHARDONNAY PLACE, TALLAHASSEE, FL 32317 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-18 | 1910 TY TY COURT, TALLAHASSEE, FL 32308 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-04-16 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-06-12 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-18 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
