| Entity Name: | HEALING HEARTS HOLISTICALLY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 20 Mar 2018 (7 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L18000072456 |
| Address: | 10230 HOLLAND RD, RIVERVIEW, FL, 33578 |
| Mail Address: | 10230 HOLLAND RD, RIVERVIEW, FL, 33578 |
| ZIP code: | 33578 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740784719 | 2018-03-22 | 2018-06-16 | 10230 HOLLAND RD, RIVERVIEW, FL, 33578, US | 10230 HOLLAND RD, RIVERVIEW, FL, 33578, US | |||||||||||||||||||||||
|
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| Phone | +1 813-447-7157 |
Authorized person
| Name | JAVON LUCAS |
| Role | ONWER |
| Phone | 8134477157 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW12832 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 016893400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LUCAS JAVON | Agent | 10230 HOLLAND RD, RIVERVIEW, FL, 33578 |
| Name | Role | Address |
|---|---|---|
| LUCAS JAVON | Manager | 10203 HOLLAND RD, RIVERVIEW, FL, 33578 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2018-03-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
