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SELF HAVEN, LLC

Company Details

Entity Name: SELF HAVEN, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Jun 2015 (10 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 29 Jun 2015 (10 years ago)
Document Number: L15000107203
FEI/EIN Number 474312640
Address: 1105 CARLA DRIVE, CANTONMENT, FL, 32533, US
Mail Address: PO BOX 962, CANTONMENT, FL, 32533, US
ZIP code: 32533
County: Escambia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013499441 2018-09-01 2018-09-01 1105 CARLA DRIVE, CANTONMENT, FL, 32533, US 1105 CARLA DRIVE, CANTONMENT, FL, 32533, US

Contacts

Phone +1 850-449-3883
Fax 8506079039

Authorized person

Name MELISSA D GARNER
Role OWNER
Phone 8504493883

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
License Number MH11872
State FL
Is Primary Yes

Agent

Name Role Address
GARNER MELISSA Agent CONFIDENTIAL, CANTONMENT, FL, 32533

Managing Member

Name Role Address
GARNER MELISSA Managing Member CONFIDENTIAL, Cantonment, FL, 32533

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2019-01-20 CONFIDENTIAL, CANTONMENT, FL 32533 No data
CHANGE OF PRINCIPAL ADDRESS 2018-08-29 1105 CARLA DRIVE, CANTONMENT, FL 32533 No data
CHANGE OF MAILING ADDRESS 2018-08-29 1105 CARLA DRIVE, CANTONMENT, FL 32533 No data
LC AMENDMENT 2015-06-29 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-05
ANNUAL REPORT 2024-01-06
ANNUAL REPORT 2023-01-03
ANNUAL REPORT 2022-01-04
ANNUAL REPORT 2021-01-05
ANNUAL REPORT 2020-01-02
ANNUAL REPORT 2019-01-20
ANNUAL REPORT 2018-01-05
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-03-03

Date of last update: 01 Feb 2025

Sources: Florida Department of State