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CLEAN SLATE RECOVERY LLC

Company Details

Entity Name: CLEAN SLATE RECOVERY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 25 Apr 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: L16000081112
FEI/EIN Number 81-2417997
Mail Address: 3061 HARTRIDGE TER, WELLINGTON, FL, 33414
Address: 2695 N MILITARY TRAIL, 26, WEST PALM BEACH, FL, 33409
ZIP code: 33409
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861948499 2016-09-01 2017-03-13 3061 HARTRIDGE TER, WELLINGTON, FL, 334143429, US 2695 N MILITARY TRL, SUITE 26, WEST PALM BEACH, FL, 334092974, US

Contacts

Phone +1 561-660-6549

Authorized person

Name SUZANNE MADISON
Role CEO
Phone 9174686200

Taxonomy

Taxonomy Code 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
State FL
Is Primary Yes

Agent

Name Role
THE TALLY CONSULTING GROUP, INC. Agent

Manager

Name Role Address
MADISON SUZANNE Manager 3061 HARTRIDGE TER, WELLINGTON, FL, 33414

Events

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

Documents

Name Date
ANNUAL REPORT 2017-03-14
Florida Limited Liability 2016-04-25

Date of last update: 01 Feb 2025

Sources: Florida Department of State