| Entity Name: | ASCEND HEALTH & WELLNESS CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Apr 2018 (7 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 19 Nov 2024 (3 months ago) |
| Document Number: | L18000097550 |
| FEI/EIN Number | 82-5276470 |
| Address: | 8911 Regents Park Dr., #510, TAMPA, FL, 33647, US |
| Mail Address: | P.O. BOX 47122, TAMPA, FL, 33646, US |
| ZIP code: | 33647 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013405281 | 2018-04-24 | 2018-06-16 | PO BOX 47122, TAMPA, FL, 336460110, US | 10001 CROSS CREEK BLVD, TAMPA, FL, 336472581, US | |||||||||||||||||
|
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| Phone | +1 386-243-9220 |
Authorized person
| Name | DR. BIANCA M. CRUDUP |
| Role | OWNER |
| Phone | 3862439220 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | PY10135 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CRUDUP BIANCA M | Agent | 16350 BRUCE B DOWNS BLVD, TAMPA, FL, 33646 |
| Name | Role | Address |
|---|---|---|
| CRUDUP BIANCA M | Authorized Person | P.O. BOX 47122, TAMPA, FL, 33646 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000153137 | ASCEND HEALTH & WELLNESS CENTER | ACTIVE | 2022-12-13 | 2027-12-31 | No data | P.O. BOX 47122, TAMPA, FL, 33646 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC NAME CHANGE | 2024-11-19 | ASCEND HEALTH & WELLNESS CENTER, LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-16 | 8911 Regents Park Dr., #510, TAMPA, FL 33647 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-15 | 16350 BRUCE B DOWNS BLVD, #47122, TAMPA, FL 33646 | No data |
| Name | Date |
|---|---|
| LC Name Change | 2024-11-19 |
| ANNUAL REPORT | 2024-03-23 |
| ANNUAL REPORT | 2023-04-13 |
| ANNUAL REPORT | 2022-05-04 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-06-16 |
| ANNUAL REPORT | 2019-04-15 |
| Florida Limited Liability | 2018-04-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
