| Entity Name: | BAYOU WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 15 Apr 2015 (10 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L15000072256 |
| FEI/EIN Number | 47-3808249 |
| Address: | 69 Bay Bridge Dr., Suite H, Gulf Breeze, FL, 32561, US |
| Mail Address: | 9147 STILLBRIDGE LANE, PENSACOLA, FL, 32514 |
| ZIP code: | 32561 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083096036 | 2015-06-26 | 2015-06-26 | 69 BAY BRIDGE DR, SUITE H, GULF BREEZE, FL, 325614468, US | 69 BAY BRIDGE DR, SUITE H, GULF BREEZE, FL, 325614468, US | |||||||||||||||||
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| Phone | +1 850-324-7912 |
Authorized person
| Name | MS. ANDREA BURKS |
| Role | OWNER |
| Phone | 8503247912 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH12035 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BURKS ANDREA | Agent | 9147 STILLBRIDGE LANE, PENSACOLA, FL, 32514 |
| Name | Role | Address |
|---|---|---|
| BURKS ANDREA | Authorized Member | 9147 STILLBRIDGE LANE, PENSACOLA, FL, 32514 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-07 | 69 Bay Bridge Dr., Suite H, Gulf Breeze, FL 32561 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-01-23 |
| ANNUAL REPORT | 2016-03-07 |
| Florida Limited Liability | 2015-04-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
