| Entity Name: | REAL PEOPLE THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Jun 2018 (7 years ago) |
| Document Number: | L18000158868 |
| FEI/EIN Number | 83-1085379 |
| Address: | 304 Sally Lee Drive, Ellenton, FL 34222 |
| Mail Address: | 304 Sally Lee Drive, Ellenton, FL 34222 |
| ZIP code: | 34222 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487140315 | 2018-07-03 | 2018-07-03 | 5201 MILL STREAM RD, OCOEE, FL, 347618121, US | 7350 FUTURES DR STE 18, ORLANDO, FL, 328199084, US | |||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 407-334-4748 |
| Fax | 3212367097 |
Authorized person
| Name | MS. AMANDA SECRAN MANSILLA |
| Role | OWNER |
| Phone | 4073344748 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW11968 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI |
| Number | 1598177727 |
| Name | Role | Address |
|---|---|---|
| Secran, Amanda Joan | Agent | 304 Sally Lee Drive, Ellenton, FL 34222 |
| Name | Role | Address |
|---|---|---|
| SECRAN , AMANDA | Authorized Member | 5201 Mill Stream Rd., Ocoee, FL 34761 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-13 | 304 Sally Lee Drive, Ellenton, FL 34222 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-13 | 304 Sally Lee Drive, Ellenton, FL 34222 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-13 | 304 Sally Lee Drive, Ellenton, FL 34222 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-04-16 | Secran, Amanda Joan | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-05 |
| ANNUAL REPORT | 2023-04-13 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-04-16 |
| ANNUAL REPORT | 2020-04-16 |
| ANNUAL REPORT | 2019-03-13 |
| Florida Limited Liability | 2018-06-28 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
