| Entity Name: | INTEGRATED ROOTS BEHAVIORAL THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Apr 2015 (10 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 25 Feb 2016 (9 years ago) |
| Document Number: | L15000068271 |
| FEI/EIN Number | 47-4767651 |
| Address: | 795 74th Ave. N., St. Petersburg, FL, 33702, US |
| Mail Address: | 795 74th Ave. N., St. Petersburg, FL, 33702, US |
| ZIP code: | 33702 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942676812 | 2015-08-14 | 2016-08-09 | 1021 39TH AVE NE, ST PETERSBURG, FL, 337035223, US | 1021 39TH AVE NE, ST PETERSBURG, FL, 337035223, US | |||||||||||||||||||||||||
|
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| Phone | +1 727-637-3100 |
Authorized person
| Name | MRS. STEPHANIE L ZIELINSKI |
| Role | OWNER |
| Phone | 7276373100 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| License Number | 1-10-7146 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 252Y00000X - Early Intervention Provider Agency |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ZIELINSKI STEPHANIE | Agent | 795 74th Ave. N., St. Petersburg, FL, 33702 |
| Name | Role | Address |
|---|---|---|
| ZIELINSKI STEPHANIE | Authorized Member | 795 74th Ave. N., St. Petersburg, FL, 33702 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-16 | 795 74th Ave. N., St. Petersburg, FL 33702 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-16 | 795 74th Ave. N., St. Petersburg, FL 33702 | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-16 | 795 74th Ave. N., St. Petersburg, FL 33702 | No data |
| REGISTERED AGENT NAME CHANGED | 2025-01-16 | ZIELINSKI, STEPHANIE | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-26 | 795 74th Ave. N., St. Petersburg, FL 33702 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-26 | 795 74th Ave. N., St. Petersburg, FL 33702 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-26 | 795 74th Ave. N., St. Petersburg, FL 33702 | No data |
| LC AMENDMENT AND NAME CHANGE | 2016-02-25 | INTEGRATED ROOTS BEHAVIORAL THERAPY, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-16 |
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-02-03 |
| ANNUAL REPORT | 2022-08-25 |
| ANNUAL REPORT | 2021-01-04 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-01-14 |
| ANNUAL REPORT | 2018-01-30 |
| ANNUAL REPORT | 2017-04-17 |
| ANNUAL REPORT | 2016-04-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
