| Entity Name: | EMBRACING CHANGES CENTER FOR WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Aug 2013 (11 years ago) |
| Document Number: | L13000115846 |
| FEI/EIN Number | N/A |
| Address: | One Urban Center at West Shore, 4830 W. Kennedy Blvd, Suite 634, TAMPA, FL 33609 |
| Mail Address: | 6002 Palm Shadow Way, Apt 1237, Apt 1237, Tampa, FL 33647 |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003477662 | 2019-06-25 | 2022-02-21 | 32450 TALIMENA LOOP, WESLEY CHAPEL, FL, 335435839, US | 4830 W KENNEDY BLVD STE 630, TAMPA, FL, 336092571, US | |||||||||||||||||||||
|
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| Phone | +1 813-486-4920 |
| Fax | 8134285756 |
Authorized person
| Name | MS. KAREN PEREZ |
| Role | PRESIDENT |
| Phone | 8134937705 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | DOH |
| Number | SW11254 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PEREZ, KAREN | Agent | One Urban Center at West Shore, 4830 W. Kennedy Blvd, Suite 634, TAMPA, FL 33609 |
| Name | Role | Address |
|---|---|---|
| PEREZ, KAREN | Chief Executive Officer | One Urban Center at West Shore, 4830 W. Kennedy Blvd Suite 634 TAMPA, FL 33609 |
| Name | Role | Address |
|---|---|---|
| Perez, Carmen A | President | One Urban Center at West Shore, 4830 W. Kennedy Blvd Suite 634 TAMPA, FL 33609 |
| Name | Role | Address |
|---|---|---|
| William, Joseph, Esq. | Manager | One Urban Center at West Shore, 4830 W. Kennedy Blvd Suite 634 TAMPA, FL 33609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-01-25 | One Urban Center at West Shore, 4830 W. Kennedy Blvd, Suite 634, TAMPA, FL 33609 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-27 | One Urban Center at West Shore, 4830 W. Kennedy Blvd, Suite 634, TAMPA, FL 33609 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-27 | One Urban Center at West Shore, 4830 W. Kennedy Blvd, Suite 634, TAMPA, FL 33609 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-02-07 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-03-01 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-02-03 |
| ANNUAL REPORT | 2015-02-06 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
