| Entity Name: | LIVEWELL GAINESVILLE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Jun 2018 (7 years ago) |
| Document Number: | L18000152655 |
| FEI/EIN Number | 83-1048005 |
| Address: | 310 NW 76 Dr, GAINESVILLE, FL, 32607, US |
| Mail Address: | 310 NW 76 Dr, GAINESVILLE, FL, 32607, US |
| ZIP code: | 32607 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104568039 | 2022-04-11 | 2024-01-08 | 310 NW 76TH DR STE B, GAINESVILLE, FL, 326076661, US | 310 NW 76TH DR STE B, GAINESVILLE, FL, 326076661, US | |||||||||||||||||||
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| Phone | +1 352-900-3130 |
| Fax | 3522838469 |
Authorized person
| Name | WENDY GIBBS |
| Role | LMFT, QUALIFIED SUPERVISOR, OWNER |
| Phone | 3529003130 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GIBBS HARRELL CJR | Agent | 8102 NW 184TH DR, ALACHUA, FL, 32615 |
| Name | Role | Address |
|---|---|---|
| GIBBS WENDY C | Authorized Representative | 8102 NW 184TH DR, ALACHUA, FL, 32615 |
| GIBBS HARRELL C | Authorized Representative | 8102 NW 184TH DR, ALACHUA, FL, 32615 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-15 | 310 NW 76 Dr, GAINESVILLE, FL 32607 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-15 | 310 NW 76 Dr, GAINESVILLE, FL 32607 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-16 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-02-15 |
| ANNUAL REPORT | 2021-02-18 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-03-14 |
| Florida Limited Liability | 2018-06-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
