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AUTHENTICALLY YOU, LLC

Company Details

Entity Name: AUTHENTICALLY YOU, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 17 Jun 2016 (9 years ago)
Document Number: L16000117618
FEI/EIN Number 81-3025525
Address: 264 PASEO REYES DR, ST. AUGUSTINE, FL, 32095-8462, US
Mail Address: 264 Paseo Reyes Dr, ST. AUGUSTINE, FL, 32095, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326559097 2017-10-20 2019-03-12 109 NATURE WALK PKWY UNIT 104, SAINT AUGUSTINE, FL, 320925065, US 109 NATURE WALK PKWY UNIT 104, SAINT AUGUSTINE, FL, 320925065, US

Contacts

Phone +1 904-629-1565
Fax 9045623465

Authorized person

Name AMANDA PAYNE
Role OWNER
Phone 9046291565

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
License Number MH13243
State FL
Is Primary Yes

Agent

Name Role Address
PAYNE AMANDA M Agent 861 BATTERSEA DRIVE, ST. AUGUSTINE, FL, 32095

Manager

Name Role Address
PAYNE WILLIAM R Manager 861 BATTERSEA DRIVE, ST. AUGUSTINE, FL, 32095

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-03-25 264 PASEO REYES DR, ST. AUGUSTINE, FL 32095-8462 No data
CHANGE OF MAILING ADDRESS 2021-03-25 264 PASEO REYES DR, ST. AUGUSTINE, FL 32095-8462 No data
REGISTERED AGENT NAME CHANGED 2021-03-25 PAYNE, AMANDA M No data

Documents

Name Date
ANNUAL REPORT 2024-03-19
ANNUAL REPORT 2023-03-09
ANNUAL REPORT 2022-04-12
ANNUAL REPORT 2021-03-25
ANNUAL REPORT 2020-05-26
ANNUAL REPORT 2019-04-25
ANNUAL REPORT 2018-04-19
ANNUAL REPORT 2017-03-22
Florida Limited Liability 2016-06-17

Date of last update: 02 Feb 2025

Sources: Florida Department of State