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INDIGO ART THERAPY STUDIO LLC

Company Details

Entity Name: INDIGO ART THERAPY STUDIO LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Jan 2017 (8 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 17 Mar 2022 (3 years ago)
Document Number: L17000016032
FEI/EIN Number 81-5087598
Address: 1804 San Marco Place, Jacksonville, FL, 32207, US
Mail Address: 1804 San Marco Place, Jacksonville, FL, 32207, US
ZIP code: 32207
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124790415 2021-10-04 2021-10-04 1804 SAN MARCO PL, JACKSONVILLE, FL, 322073247, US 1804 SAN MARCO PL, JACKSONVILLE, FL, 322073247, US

Contacts

Phone +1 904-520-4191
Fax 9044416901

Authorized person

Name KELLY ELIZABETH DESOUSA
Role ART THERAPIST, CO-OWNER
Phone 9045204191

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary No
Taxonomy Code 221700000X - Art Therapist
Is Primary Yes

Agent

Name Role Address
DESOUSA KELLY E Agent 4169 SHIRLEY AVENUE, JACKSONVILLE, FL, 32210

Manager

Name Role Address
DESOUSA KELLY E Manager 1804 San Marco Place, Jacksonville, FL, 32207
Schlegel Devon M Manager 1804 San Marco Place, Jacksonville, FL, 32207

Events

Event Type Filed Date Value Description
LC AMENDMENT 2022-03-17 No data No data
CHANGE OF PRINCIPAL ADDRESS 2021-04-18 1804 San Marco Place, Jacksonville, FL 32207 No data
CHANGE OF MAILING ADDRESS 2021-04-18 1804 San Marco Place, Jacksonville, FL 32207 No data

Documents

Name Date
ANNUAL REPORT 2024-04-22
ANNUAL REPORT 2023-04-02
ANNUAL REPORT 2022-04-29
LC Amendment 2022-03-17
ANNUAL REPORT 2021-04-18
ANNUAL REPORT 2020-04-26
ANNUAL REPORT 2019-04-15
ANNUAL REPORT 2018-04-10
Florida Limited Liability 2017-01-20

Date of last update: 01 Feb 2025

Sources: Florida Department of State