| Entity Name: | SOULSTICE THERAPEUTIC SOLUTIONS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Jul 2016 (9 years ago) |
| Document Number: | L16000130657 |
| FEI/EIN Number | 81-3260820 |
| Address: | 211 West Oak St. Apt. 5, WAUCHULA, FL 33873 |
| Mail Address: | P.O. BOX 577, WAUCHULA, FL 33873 |
| ZIP code: | 33873 |
| County: | Hardee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821545815 | 2016-09-07 | 2016-09-07 | PO BOX 577, WAUCHULA, FL, 338730577, US | 901 W MAIN ST STE 121, WAUCHULA, FL, 338732532, US | |||||||||||||||||
|
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| Phone | +1 863-773-6573 |
Authorized person
| Name | MR. MICAH S. HENDRICKSON |
| Role | OWNER |
| Phone | 8637736573 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | MH13683 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HENDRICKSON, MICAH | Agent | 211 West Oak St. Apt. 5, WAUCHULA, FL 33873 |
| Name | Role | Address |
|---|---|---|
| HENDRICKSON, MICAH | President | P.O. BOX 577, WAUCHULA, FL 33873 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-30 | 211 West Oak St. Apt. 5, WAUCHULA, FL 33873 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-02 | 211 West Oak St. Apt. 5, WAUCHULA, FL 33873 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-26 |
| ANNUAL REPORT | 2023-03-17 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-06-02 |
| ANNUAL REPORT | 2019-03-13 |
| ANNUAL REPORT | 2018-03-14 |
| ANNUAL REPORT | 2017-07-05 |
| Florida Limited Liability | 2016-07-11 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
