| Entity Name: | LEAPS-ASD LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 19 May 2015 (10 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L15000089032 |
| Address: | 1917 SIXTY OAKS LANE, VERO BEACH, FL, 32966 |
| Mail Address: | 1917 SIXTY OAKS LANE, VERO BEACH, FL, 32966 |
| ZIP code: | 32966 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376926188 | 2015-06-30 | 2015-06-30 | 1917 SIXTY OAKS LN, VERO BEACH, FL, 329661078, US | 1917 SIXTY OAKS LN, VERO BEACH, FL, 329661078, US | |||||||||||||||||||||||
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| Phone | +1 863-241-4843 |
Authorized person
| Name | WENDY BORDEN |
| Role | PRESIDENT |
| Phone | 8632414843 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | 0-02-0431 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI # |
| Number | 1700216231 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BORDEN WENDY | Agent | 1917 SIXTY OAKS LANE, VERO BEACH, FL, 32966 |
| Name | Role | Address |
|---|---|---|
| BORDEN WENDY | Authorized Member | 1917 SIXTY OAKS LANE, VERO BEACH, FL, 32966 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2015-05-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
