| Entity Name: | WILLOW RIVER WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Jan 2019 (6 years ago) |
| Document Number: | L19000003987 |
| FEI/EIN Number | 83-3056721 |
| Address: | 5775 AVISTA DRIVE, SARASOTA, FL 34243 |
| Mail Address: | 30 Montvale Drive, Little Rock, AR 72212 |
| ZIP code: | 34243 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922725472 | 2022-10-25 | 2022-10-25 | 5775 AVISTA DR, SARASOTA, FL, 342433616, US | 5775 AVISTA DR, SARASOTA, FL, 342433616, US | |||||||||||||
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| Phone | +1 352-238-0974 |
Authorized person
| Name | ROBERT FOREMAN |
| Role | BILLING |
| Phone | 6303130069 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| BALOS, JESSICA | Authorized Person | 5775 AVISTA DRIVE, SARASOTA, FL 34243 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-04-19 | 5775 AVISTA DRIVE, SARASOTA, FL 34243 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-25 | 7901 4TH STREET NORTH, SUITE 300, ST.PETERSBURG, FL 33702 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-06-07 |
| Florida Limited Liability | 2019-01-02 |
Date of last update: 16 Feb 2025
Sources: Florida Department of State
