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SOUL SPACE THERAPY, LLC

Company Details

Entity Name: SOUL SPACE THERAPY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 07 Nov 2018 (6 years ago)
Document Number: L18000260935
FEI/EIN Number 83-2496379
Address: 25078 PURPLE EMPEROR WAY, PUNTA GORDA, FL, 33955, US
Mail Address: 25078 PURPLE EMPEROR WAY, PUNTA GORDA, FL, 33955, US
ZIP code: 33955
County: Charlotte
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700354339 2018-11-13 2021-10-27 25078 PURPLE EMPEROR WAY, PUNTA GORDA, FL, 339556220, US 25078 PURPLE EMPEROR WAY, PUNTA GORDA, FL, 339556220, US

Contacts

Phone +1 810-845-6090
Fax 9414671723

Authorized person

Name MS. JANIE JANINE BRYNOLF
Role OWNER/CLINICAL THERAPIST
Phone 8108456090

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role Address
BRYNOLF JANIE J Agent 25078 PURPLE EMPEROR WAY, PUNTA GORDA, FL, 33955

Manager

Name Role Address
BRYNOLF JANIE J Manager 25078 PURPLE EMPEROR WAY, PUNTA GORDA, FL, 33955

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-02-02
ANNUAL REPORT 2022-01-14
ANNUAL REPORT 2021-01-08
ANNUAL REPORT 2020-05-04
ANNUAL REPORT 2019-04-03
Florida Limited Liability 2018-11-07

Date of last update: 02 Feb 2025

Sources: Florida Department of State