| Entity Name: | LIFE CHANGE INSTITUTE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 Jan 2019 (6 years ago) |
| Document Number: | L19000014054 |
| FEI/EIN Number | 84-4315179 |
| Address: | 8023 ROYAL BIRKDALE CIRCLE, LAKEWOOD RANCH, FL 34202 |
| Mail Address: | 8023 ROYAL BIRKDALE CIRCLE, LAKEWOOD RANCH, FL 34202 |
| ZIP code: | 34202 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548014970 | 2024-04-12 | 2024-04-12 | 8023 ROYAL BIRKDALE CIRCLE, LAKEWOOD RANCH, FL, 342022538, US | 8023 ROYAL BIRKDALE CIRCLE, LAKEWOOD RANCH, FL, 342022538, US | |||||||||||||
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| Phone | +1 941-400-9556 |
Authorized person
| Name | DR. MICHAEL LEBLOND |
| Role | CEO |
| Phone | 9414009556 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LEBLOND, MICHAEL | Agent | 8023 ROYAL BIRKDALE CIRCLE, LAKEWOOD RANCH, FL 34202 |
| Name | Role | Address |
|---|---|---|
| LEBLOND, MICHAEL | Authorized Member | 8023 ROYAL BIRKDALE CIRCLE, LAKEWOOD RANCH, FL 34202 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-05 |
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-03-07 |
| ANNUAL REPORT | 2020-01-16 |
| Florida Limited Liability | 2019-01-10 |
Date of last update: 16 Feb 2025
Sources: Florida Department of State
