| Entity Name: | TALLAHASSEE THERAPY ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 May 2015 (10 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 03 Oct 2016 (8 years ago) |
| Document Number: | L15000094720 |
| FEI/EIN Number | 47-4129444 |
| Address: | 3857 Moriarity Court, TALLAHASSEE, FL, 32309, US |
| Mail Address: | 3857 Moriarity Court, TALLAHASSEE, FL, 32309, US |
| ZIP code: | 32309 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033575394 | 2016-01-01 | 2016-01-01 | 10678 LAKE IAMONIA DR, TALLAHASSEE, FL, 323125102, US | 109 W 4TH AVE, TALLAHASSEE, FL, 323036152, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 850-597-5050 |
| Phone | +1 850-241-5707 |
Authorized person
| Name | MRS. MICHELLE BOUTHILLIER |
| Role | OWNER |
| Phone | 8502415707 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | SW11731 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TALLAHASSEE THERAPY ASSOCIATES, LLC SOLO 401(K) | 2023 | 474129444 | 2024-07-18 | TALLAHASSEE THERAPY ASSOCIATES, LLC | 1 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-07-18 |
| Name of individual signing | MICHELLE BOUTHILLER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BOUTHILLIER MICHELLE L | Agent | 3857 Moriarity Court, TALLAHASSEE, FL, 32309 |
| Name | Role | Address |
|---|---|---|
| BOUTHILLIER MICHELLE L | Member | 3857 Moriarity Court, TALLAHASSEE, FL, 32309 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-12 | 3857 Moriarity Court, TALLAHASSEE, FL 32309 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-12 | 3857 Moriarity Court, TALLAHASSEE, FL 32309 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-12 | 3857 Moriarity Court, TALLAHASSEE, FL 32309 | No data |
| REINSTATEMENT | 2016-10-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-10-03 | BOUTHILLIER, MICHELLE L | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-01-20 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-03-12 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-01-10 |
| REINSTATEMENT | 2016-10-03 |
| Florida Limited Liability | 2015-05-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
