| Entity Name: | JOURNEY THERAPEUTIC OUTREACH SERVICES L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 Jan 2019 (6 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L19000027499 |
| FEI/EIN Number | 83-3304501 |
| Address: | 11504 Lake Eustis Drive, Leesburg, FL, 34788, US |
| Mail Address: | 11504 Lake Eustis Drive, Leesburg, FL, 34788, US |
| ZIP code: | 34788 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891257739 | 2019-04-01 | 2019-04-01 | 110 N 4TH ST, LEESBURG, FL, 347485167, US | 110 N 4TH ST, LEESBURG, FL, 347485167, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 352-631-8568 |
Authorized person
| Name | DUSTIN BASS |
| Role | CO-OWNER |
| Phone | 3526318568 |
Taxonomy
| Taxonomy Code | 261QR0401X - Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BASS DUSTIN C | Agent | 110 N 4TH ST, LEESBURG, FL, 34748 |
| Name | Role | Address |
|---|---|---|
| BASS DUSTIN | Auth | 11504 LAKE EUSTIS DR, LEESBURG, FL, 34788 |
| SPIVEY MARC | Auth | 11504 LAKE EUSTIS DR, LEESBURG, FL, 34748 |
| PROWELL ALONA | Auth | 1713 SANDALWOOD CIRCLE SW, WINTER HAVEN, FL, 33880 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-30 | 11504 Lake Eustis Drive, Leesburg, FL 34788 | No data |
| CHANGE OF MAILING ADDRESS | 2020-04-30 | 11504 Lake Eustis Drive, Leesburg, FL 34788 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-04-30 |
| Florida Limited Liability | 2019-01-28 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
