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PLAY AND WELLNESS CENTER OF GAINESVILLE, LLC

Company Details

Entity Name: PLAY AND WELLNESS CENTER OF GAINESVILLE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 Jul 2015 (10 years ago)
Document Number: L15000116002
FEI/EIN Number 47-4510296
Address: 3600 NW 43rd St, Gainesville, FL, 32606, US
Mail Address: 3600 NW 43rd St, Gainesville, FL, 32606, US
ZIP code: 32606
County: Alachua
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902280357 2015-07-15 2015-07-15 2114 NW 40TH TER, B4, GAINESVILLE, FL, 326053593, US 2114 NW 40TH TER, B4, GAINESVILLE, FL, 326053593, US

Contacts

Phone +1 352-448-9087

Authorized person

Name KRISTINA OWENS CHANCE
Role PRESIDENT
Phone 3524489087

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
License Number MH12711
State FL
Is Primary Yes

Agent

Name Role Address
CHANCE KRISTINA O Agent 3600 NW 43rd St, Gainesville, FL, 32606

Authorized Person

Name Role Address
CHANCE KRISTINA O Authorized Person 3600 NW 43rd St, Gainesville, FL, 32606

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-29 3600 NW 43rd St, SUITE A2, Gainesville, FL 32606 No data
CHANGE OF MAILING ADDRESS 2023-01-29 3600 NW 43rd St, SUITE A2, Gainesville, FL 32606 No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-29 3600 NW 43rd St, SUITE A2, Gainesville, FL 32606 No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-01-29
ANNUAL REPORT 2022-02-16
ANNUAL REPORT 2021-03-14
ANNUAL REPORT 2020-04-06
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-01-26
ANNUAL REPORT 2017-03-16
ANNUAL REPORT 2016-04-29
Florida Limited Liability 2015-07-06

Date of last update: 01 Feb 2025

Sources: Florida Department of State