| Entity Name: | AUTHENTIC LIFE TRANSITIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Aug 2016 (8 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Oct 2018 (6 years ago) |
| Document Number: | L16000158336 |
| FEI/EIN Number | 82-0880310 |
| Address: | 3001 Aloma Avenue, Suite 217, Winter Park, FL, 32792, US |
| Mail Address: | 3001 Aloma Avenue, Suite 217, Winter Park, FL, 32792, US |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548771496 | 2017-10-18 | 2018-03-17 | 3001 ALOMA AVE STE 204, WINTER PARK, FL, 327923752, US | 3001 ALOMA AVE STE 204, WINTER PARK, FL, 327923752, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 321-420-6095 |
| Fax | 4075301935 |
Authorized person
| Name | DR. STEPHANY LYNNE MAHAFFEY |
| Role | LICENSED PSYCHOLOGIST |
| Phone | 9404530872 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY9160 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 103TB0200X - Cognitive & Behavioral Psychologist |
| License Number | PY9160 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TC1900X - Counseling Psychologist |
| License Number | PY9160 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MAHAFFEY STEPHANY | Agent | 3001 Aloma Avenue, Orlando, FL, 32825 |
| Name | Role | Address |
|---|---|---|
| Mahaffey Stephany | Manager | 3001 Aloma Avenue, Winter Park, FL, 32792 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-16 | 3001 Aloma Avenue, Suite 217, Winter Park, FL 32792 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-16 | 3001 Aloma Avenue, Suite 217, Winter Park, FL 32792 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-16 | 3001 Aloma Avenue, Suite 217, Orlando, FL 32825 | No data |
| REINSTATEMENT | 2018-10-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-10-08 | MAHAFFEY, STEPHANY | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-04-22 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-06-10 |
| REINSTATEMENT | 2018-10-08 |
| ANNUAL REPORT | 2017-05-01 |
| Florida Limited Liability | 2016-08-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
