| Entity Name: | LIVELY SPEECH AND LANGUAGE THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Jun 2016 (9 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 07 Oct 2018 (6 years ago) |
| Document Number: | L16000114716 |
| FEI/EIN Number | 813281928 |
| Address: | 111 Nature Walk Pkwy, St Augustine, FL, 32092, US |
| Mail Address: | 111 Nature Walk Pkwy, St Augustine, FL, 32092, US |
| ZIP code: | 32092 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912614488 | 2022-11-03 | 2024-01-12 | 111 NATURE WALK PKWY UNIT 108, ST AUGUSTINE, FL, 320923065, US | 111 NATURE WALK PKWY UNIT 108, ST AUGUSTINE, FL, 320923065, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-729-6759 |
| Fax | 9044908549 |
Authorized person
| Name | MS. SARAH LIVELY |
| Role | CEO & FOUNDER |
| Phone | 9047296759 |
Taxonomy
| Taxonomy Code | 225XP0200X - Pediatric Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY KIMBERLY KENNELL |
| Number | SA12730 |
| State | FL |
| Issuer | FL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY SARAH LIVELY |
| Number | SA14057 |
| State | FL |
| Issuer | FL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY MALLORY ABERCROMBIE |
| Number | SA20932 |
| State | FL |
| Issuer | FL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY SONYA OLSEN |
| Number | SA19092 |
| State | FL |
| Issuer | FL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY JULIANNE TRAUNER |
| Number | SA19465 |
| State | FL |
| Issuer | FL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY AJA WALKER |
| Number | SA15493 |
| State | FL |
| Issuer | FL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY SAMANTHA REPALONE |
| Number | SA16825 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LIVELY SARAH | Agent | 2203 Smullian Trl N, Jacksonville, FL, 32217 |
| Name | Role | Address |
|---|---|---|
| Lively Sarah | Manager | 2203 Smullian Trl N, Jacksonville, FL, 32217 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-03 | 2203 Smullian Trl N, Unit 108, Jacksonville, FL 32217 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-17 | 111 Nature Walk Pkwy, Unit 108, St Augustine, FL 32092 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-17 | 111 Nature Walk Pkwy, Unit 108, St Augustine, FL 32092 | No data |
| REINSTATEMENT | 2018-10-07 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-10-07 | LIVELY, SARAH | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-03 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-08-12 |
| REINSTATEMENT | 2018-10-07 |
| ANNUAL REPORT | 2017-04-10 |
| Florida Limited Liability | 2016-06-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
