| Entity Name: | PAPER CRANE WELLNESS SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Mar 2014 (11 years ago) |
| Document Number: | L14000039103 |
| FEI/EIN Number | 47-1414456 |
| Address: | 36 Sylvan Dr., ST. AUGUSTINE, FL 32084 |
| Mail Address: | 36 Sylvan Dr., ST. AUGUSTINE, FL 32084 |
| ZIP code: | 32084 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710384813 | 2014-12-04 | 2014-12-04 | 88 RIBERIA ST, SUITE 150, ST AUGUSTINE, FL, 320843300, US | 88 RIBERIA ST, SUITE 150, ST AUGUSTINE, FL, 320843300, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 904-201-9533 |
Authorized person
| Name | MRS. CARRIE KYOKO LACAYO-BENTON |
| Role | PRESIDENT |
| Phone | 9042019533 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW10201 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LACAYO-BENTON, CARRIE K | Agent | 36 Sylvan Dr., ST. AUGUSTINE, FL 32084 |
| Name | Role | Address |
|---|---|---|
| LACAYO-BENTON, CARRIE K | Authorized Representative | 36 Sylvan Dr., ST. AUGUSTINE, FL 32084 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-30 | 36 Sylvan Dr., ST. AUGUSTINE, FL 32084 | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-30 | 36 Sylvan Dr., ST. AUGUSTINE, FL 32084 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-30 | 36 Sylvan Dr., ST. AUGUSTINE, FL 32084 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-20 |
Date of last update: 21 Feb 2025
Sources: Florida Department of State
