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IMPACTFUL THERAPY SERVICES LLC

Company Details

Entity Name: IMPACTFUL THERAPY SERVICES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 28 Mar 2016 (9 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: L16000061915
FEI/EIN Number 81-2032704
Address: 308 TOLLERTON AVENUE, ST. JOHNS, FL, 32259
Mail Address: 308 TOLLERTON AVENUE, ST. JOHNS, FL, 32259
ZIP code: 32259
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1306200373 2016-04-06 2016-04-06 308 TOLLERTON AVE, SAINT JOHNS, FL, 322596305, US 308 TOLLERTON AVE, SAINT JOHNS, FL, 322596305, US

Contacts

Phone +1 404-452-1640

Authorized person

Name ELIZABETH ADEYEMO
Role SPEECH-LANGUAGE PATHOLOGIST
Phone 4044521640

Taxonomy

Taxonomy Code 235Z00000X - Speech-Language Pathologist
Is Primary Yes

Agent

Name Role Address
ADEYEMO ELIZABETH Agent 308 TOLLERTON AVENUE, ST. JOHNS, FL, 32259

SLP

Name Role Address
ADEYEMO ELIZABETH SLP 308 TOLLERTON AVENUE, ST. JOHNS, FL, 32259

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data

Documents

Name Date
ANNUAL REPORT 2017-02-10
Florida Limited Liability 2016-03-28

Date of last update: 02 Feb 2025

Sources: Florida Department of State