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ONLY LIVE LLC

Company Details

Entity Name: ONLY LIVE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 11 Jan 2019 (6 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 11 Feb 2019 (6 years ago)
Document Number: L19000013920
FEI/EIN Number 83-3114712
Address: 974 SW Worcester Lane, Port Saint Lucie, FL, 34953, US
Mail Address: 974 SW Worcester Lane, Port Saint Lucie, FL, 34953, US
ZIP code: 34953
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750920435 2019-12-30 2023-04-21 974 SW WORCESTER LN, PORT SAINT LUCIE, FL, 349532648, US 145 NW CENTRAL PARK PLZ STE 107, PORT SAINT LUCIE, FL, 349862482, US

Contacts

Phone +1 772-678-9040
Fax 7726730790

Authorized person

Name MR. PAUL MATTHEW BERTOLINO
Role EXECUTIVE DIRECTOR, CEO
Phone 7726789040

Taxonomy

Taxonomy Code 104100000X - Social Worker
Is Primary No
Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role Address
BERTOLINO PAUL M Agent 974 SW Worcester Lane, Port Saint Lucie, FL, 34953

Authorized Member

Name Role Address
D'ANCONA LUCIA Authorized Member 974 SW Worcester Lane, PORT SAINT LUCIE, FL, 34953
BERTOLINO PAUL M Authorized Member 974 SW Worcester Lane, Port Saint Lucie, FL, 34953

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000035765 SAGE SOMATICS ACTIVE 2023-03-17 2028-12-31 No data 974 SW WORCESTER LANE, PORT SAINT LUCIE, FL, 34953
G19000108998 SAGE SENIOR COUNSELING ACTIVE 2019-10-06 2029-12-31 No data 974 SW WORCESTER LANE, PORT SAINT LUCIE, FL, 34953
G19000008726 SAGE COUNSELING ACTIVE 2019-01-17 2029-12-31 No data 974 SW WORCESTER LANE, PORT SAINT LUCIE, FL, 34953

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-01-02 974 SW Worcester Lane, Port Saint Lucie, FL 34953 No data
CHANGE OF MAILING ADDRESS 2020-01-02 974 SW Worcester Lane, Port Saint Lucie, FL 34953 No data
REGISTERED AGENT ADDRESS CHANGED 2020-01-02 974 SW Worcester Lane, Port Saint Lucie, FL 34953 No data
LC AMENDMENT 2019-02-11 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-26
ANNUAL REPORT 2023-02-18
AMENDED ANNUAL REPORT 2022-05-13
ANNUAL REPORT 2022-04-08
ANNUAL REPORT 2021-04-03
ANNUAL REPORT 2020-01-02
LC Amendment 2019-02-11
Florida Limited Liability 2019-01-11

Date of last update: 01 Feb 2025

Sources: Florida Department of State