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SPIRITUAL GROWTH THERAPY TRAUMA AND WELLNESS CENTER, LLC

Company Details

Entity Name: SPIRITUAL GROWTH THERAPY TRAUMA AND WELLNESS CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 29 Jul 2016 (9 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 04 Jun 2018 (7 years ago)
Document Number: L16000145596
FEI/EIN Number 81-3490040
Address: 550 SE 6th Ave, Delray Beach, FL, 33483, US
Mail Address: 550 SE 6th Ave, Delray Beach, FL, 33483, US
ZIP code: 33483
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912453432 2016-08-26 2016-08-26 6773 BONIELLO DR, BOCA RATON, FL, 334961546, US 6773 BONIELLO DR, BOCA RATON, FL, 334961546, US

Contacts

Phone +1 561-350-9567

Authorized person

Name DR. LISA ALLEVA
Role CEO
Phone 5613509567

Taxonomy

Taxonomy Code 106H00000X - Marriage & Family Therapist
Is Primary Yes
Taxonomy Code 207P00000X - Emergency Medicine Physician
Is Primary No
Taxonomy Code 363AM0700X - Medical Physician Assistant
Is Primary No

Agent

Name Role Address
ALLEVA LISA Agent 550 SE 6th Ave, Delray Beach, FL, 33483

Auth

Name Role Address
ALLEVA LISA Dr. Auth 3676 MYKONOS Court, BOCA RATON, FL, 33487

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-03-10 550 SE 6th Ave, #200 Suite C, Delray Beach, FL 33483 No data
CHANGE OF MAILING ADDRESS 2021-03-10 550 SE 6th Ave, #200 Suite C, Delray Beach, FL 33483 No data
REGISTERED AGENT ADDRESS CHANGED 2020-01-19 550 SE 6th Ave, Suite 200C, Delray Beach, FL 33483 No data
LC STMNT OF RA/RO CHG 2018-06-04 No data No data
REGISTERED AGENT NAME CHANGED 2018-06-04 ALLEVA, LISA No data

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-08-28
ANNUAL REPORT 2022-04-09
ANNUAL REPORT 2021-03-10
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-09-19
CORLCRACHG 2018-06-04
ANNUAL REPORT 2018-03-09
ANNUAL REPORT 2017-04-28
Florida Limited Liability 2016-07-29

Date of last update: 02 Feb 2025

Sources: Florida Department of State