| Entity Name: | EMBRACE WELLNESS CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Apr 2019 (6 years ago) |
| Document Number: | L19000097177 |
| FEI/EIN Number | 83-4434051 |
| Mail Address: | 702 N 27TH ST, FORT PIERCE, FL, 34947, US |
| Address: | 985 Seaway Drive, FORT PIERCE, FL, 34949, US |
| ZIP code: | 34949 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124851118 | 2024-08-23 | 2024-08-23 | 985 SEAWAY DR, FORT PIERCE, FL, 349492744, US | 985 SEAWAY DR, FORT PIERCE, FL, 349492744, US | |||||||||||||||||
|
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| Phone | +1 772-577-1697 |
Authorized person
| Name | MR. JOHN S. WILKS-YOUNG |
| Role | CLINICAL DIRECTOR/CEO |
| Phone | 7725770405 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Wilks-Stanford Carmen | Agent | 702 N 27TH ST, FORT PIERCE, FL, 34947 |
| Name | Role | Address |
|---|---|---|
| Wilks-Young John | Chief Executive Officer | 985 Seaway Drive, FORT PIERCE, FL, 34949 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-03 | 985 Seaway Drive, FORT PIERCE, FL 34949 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-02-03 | Wilks-Stanford, Carmen | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-03 | 702 N 27TH ST, FORT PIERCE, FL 34947 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-03 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-09-19 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-04-30 |
| Florida Limited Liability | 2019-04-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
