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MENDING WOUNDED SOULS, PLLC

Company Details

Entity Name: MENDING WOUNDED SOULS, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 07 Mar 2017 (8 years ago)
Document Number: L17000053206
FEI/EIN Number 82-0778579
Address: 13191 Starkey Rd Ste 14, Largo, FL, 33773, US
Mail Address: 13191 Starkey Rd Ste 14, Largo, FL, 33773, US
ZIP code: 33773
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467984179 2017-03-31 2017-03-31 1001 STARKEY RD, #67, LARGO, FL, 337715495, US 7190 SEMINOLE BLVD, SEMINOLE, FL, 337725935, US

Contacts

Phone +1 727-466-8559

Authorized person

Name ANN DEPOOLW
Role MANAGER
Phone 7274668559

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
License Number SW11317
State FL
Is Primary Yes

Agent

Name Role Address
DePoole Ann Agent 1001 Starkey Road, Largo, FL, 33771

Authorized Member

Name Role Address
DEPOOLE ANN LCSW Authorized Member 1001 Starkey Rd. #67, Largo, FL, 33771

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-03-24 13191 Starkey Rd Ste 14, Largo, FL 33773 No data
CHANGE OF MAILING ADDRESS 2021-03-24 13191 Starkey Rd Ste 14, Largo, FL 33773 No data
REGISTERED AGENT NAME CHANGED 2019-05-28 DePoole, Ann No data
REGISTERED AGENT ADDRESS CHANGED 2019-05-28 1001 Starkey Road, Lot 67, Largo, FL 33771 No data

Documents

Name Date
ANNUAL REPORT 2024-03-18
ANNUAL REPORT 2023-03-31
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-03-24
ANNUAL REPORT 2020-03-08
ANNUAL REPORT 2019-05-28
ANNUAL REPORT 2018-05-01
Florida Limited Liability 2017-03-07

Date of last update: 02 Feb 2025

Sources: Florida Department of State