| Entity Name: | LIFE SYMPHONY THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Feb 2019 (6 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 01 Dec 2022 (2 years ago) |
| Document Number: | L19000047241 |
| FEI/EIN Number | 832289706 |
| Address: | 155 BARTRAM MARKET DRIVE, SUITE 135-169, SAINT JOHNS, FL, 32259 |
| Mail Address: | 155 BARTRAM MARKET DRIVE, SUITE 135-169, SAINT JOHNS, FL, 32259 |
| ZIP code: | 32259 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871238832 | 2022-05-03 | 2022-05-03 | 155 BARTRAM MARKET DR STE 135-169, SAINT JOHNS, FL, 322594581, US | 155 BARTRAM MARKET DR STE 135-169, SAINT JOHNS, FL, 322594581, US | |||||||||||||
|
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| Phone | +1 904-373-8516 |
Authorized person
| Name | DR. FONDA E MOSAL |
| Role | OWNER |
| Phone | 9043738516 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOSAL FONDA E | Agent | 155 BARTRAM MARKET DRIVE, SAINT JOHNS, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| MOSAL FONDA E | Authorized Representative | 979 W. TENNESSEE TRACE, SAINT JOHNS, FL, 32259 |
| MOSAL JONATHAN S | Authorized Representative | 979 W. TENNESSEE TRACE, SAINT JOHNS, FL, 32259 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2022-12-01 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-12-01 | 155 BARTRAM MARKET DRIVE, SUITE 135-169, SAINT JOHNS, FL 32259 | No data |
| CHANGE OF MAILING ADDRESS | 2022-12-01 | 155 BARTRAM MARKET DRIVE, SUITE 135-169, SAINT JOHNS, FL 32259 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-12-01 | 155 BARTRAM MARKET DRIVE, SUITE 135-169, SAINT JOHNS, FL 32259 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-20 |
| ANNUAL REPORT | 2023-01-26 |
| LC Amendment | 2022-12-01 |
| ANNUAL REPORT | 2022-03-01 |
| ANNUAL REPORT | 2021-01-04 |
| ANNUAL REPORT | 2020-01-23 |
| Florida Limited Liability | 2019-02-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
