| Entity Name: | PRAXIS THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 22 Mar 2019 (6 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L19000080481 |
| FEI/EIN Number | 83-4248350 |
| Address: | 3312 Northside Dr, #104, Key West, FL, 33040, US |
| Mail Address: | 3312 Northside Dr, #104, Key West, FL, 33040, US |
| ZIP code: | 33040 |
| County: | Monroe |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467008078 | 2019-08-11 | 2020-06-24 | 110 N 4TH ST, LEESBURG, FL, 347485167, US | 110 N 4TH ST, LEESBURG, FL, 347485167, US | |||||||||||||||||||||||
|
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| Phone | +1 352-631-8568 |
| Fax | 8886946198 |
Authorized person
| Name | MARC SPIVEY |
| Role | DIRECTOR |
| Phone | 3526318568 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BASS DUSTIN | Agent | 3312 Northside Dr, Key West, FL, 33040 |
| Name | Role | Address |
|---|---|---|
| SPIVEY MARC | Authorized Member | 3312 Northside Dr, Key West, FL, 33040 |
| BASS DUSTIN | Authorized Member | 3312 Northside Dr, Key West, FL, 33040 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-25 | 3312 Northside Dr, #104, Key West, FL 33040 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-25 | 3312 Northside Dr, #104, Key West, FL 33040 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-25 | 3312 Northside Dr, #104, Key West, FL 33040 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-04-22 | BASS, DUSTIN | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-04-22 |
| Florida Limited Liability | 2019-03-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
