| Entity Name: | BAYOU WELLNESS OF NORTHWEST FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Mar 2018 (7 years ago) |
| Document Number: | L18000063025 |
| FEI/EIN Number | 82-4725700 |
| Address: | 7100 Plantation Road, pensacola, FL, 32504, US |
| Mail Address: | 7100 Plantation Road, pensacola, FL, 32504, US |
| ZIP code: | 32504 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841778636 | 2018-08-02 | 2023-12-01 | 17 W MAXWELL ST, PENSACOLA, FL, 325011717, US | 17 W MAXWELL ST, PENSACOLA, FL, 325011717, US | |||||||||||||||||||
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| Phone | +1 850-324-7912 |
| Fax | 8502707821 |
Authorized person
| Name | ANDREA BURKS |
| Role | COUNSELOR, OWNER |
| Phone | 8503247912 |
Taxonomy
| Taxonomy Code | 101Y00000X - Counselor |
| License Number | MH12035 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BURKS ANDREA RLMHC | Agent | 17 W Maxwell St., Pensacola, FL, 32501 |
| Name | Role | Address |
|---|---|---|
| BURKS ANDREA | Owner | 7100 PLANTATION ROAD, PENSACOLA, FL, 32504 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-24 | 7100 Plantation Road, Suite 2, pensacola, FL 32504 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-24 | 7100 Plantation Road, Suite 2, pensacola, FL 32504 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-06 | 17 W Maxwell St., Pensacola, FL 32501 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-04-10 |
| ANNUAL REPORT | 2019-03-04 |
| Florida Limited Liability | 2018-03-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
