| Entity Name: | D.I.V.A. EMPOWERMENT GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 May 2019 (6 years ago) |
| Document Number: | L19000126569 |
| FEI/EIN Number | 84-3444931 |
| Address: | 274 Wilshire Blvd, CASSELBERRY, FL, 32707, US |
| Mail Address: | 274 Wilshire Blvd, CASSELBERRY, FL, 32707, US |
| ZIP code: | 32707 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922673227 | 2021-05-20 | 2021-05-20 | 274 WILSHIRE BLVD STE 237, CASSELBERRY, FL, 327075367, US | 274 WILSHIRE BLVD STE 237, CASSELBERRY, FL, 327075367, US | |||||||||||||||||||||||||
|
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| Phone | +1 407-545-2717 |
Authorized person
| Name | TOJAUNA JACKSON-FORBES |
| Role | OWNER |
| Phone | 3212636994 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JACKSON-FORBES TOJAUNA | Agent | 661 HIBISCUS RD, CASSELBERRY, FL, 32707 |
| Name | Role | Address |
|---|---|---|
| JACKSON-FORBES TOJAUNA | Authorized Person | 661 HIBISCUS RD, CASSELBERRY, FL, 32707 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000015347 | POSITIVE PERSUASION | ACTIVE | 2022-02-01 | 2027-12-31 | No data | 274 WILSHIRE BLVD, SUITE 237, CASSELBERRY, FL, 32707 |
| G21000070685 | REPLEVIN WELLNESS AND EMPOWERMENT CENTER | ACTIVE | 2021-05-24 | 2026-12-31 | No data | 274 WILSHIRE BLVD, SUITE 237, CASSELBERRY, FL, 32707 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-05-30 | 274 Wilshire Blvd, 237, CASSELBERRY, FL 32707 | No data |
| CHANGE OF MAILING ADDRESS | 2020-05-30 | 274 Wilshire Blvd, 237, CASSELBERRY, FL 32707 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-05-30 | 661 HIBISCUS RD, CASSELBERRY, FL 32707 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-05-03 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-05-30 |
| Florida Limited Liability | 2019-05-09 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
