| Entity Name: | ALLIES IN WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 12 Jun 2019 (6 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 20 Oct 2023 (a year ago) |
| Document Number: | L19000155312 |
| FEI/EIN Number | 84-2128372 |
| Address: | 1825 RIVERVIEW DRIVE, MELBOURNE, FL 32901 |
| Mail Address: | 1825 RIVERVIEW DRIVE, MELBOURNE, FL 32901 |
| ZIP code: | 32901 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851019798 | 2022-08-17 | 2022-08-17 | 391 COMMERCE PKWY STE 220, ROCKLEDGE, FL, 329554209, US | 391 COMMERCE PKWY STE 220, ROCKLEDGE, FL, 329554209, US | |||||||||||||||||||||||||
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| Phone | +1 321-258-9537 |
| Fax | 3215419135 |
Authorized person
| Name | REBECCA THIPSINGH |
| Role | OWNER |
| Phone | 3212589537 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 103651200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| THIPSINGH, REBECCA E | Agent | 1825 RIVERVIEW DRIVE, MELBOURNE, FL 32901 |
| Name | Role | Address |
|---|---|---|
| THIPSINGH, REBECCA E | Authorized Manager | 1825 RIVERVIEW DRIVE, MELBOURNE, FL 32901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-24 | 1825 RIVERVIEW DRIVE, MELBOURNE, FL 32901 | No data |
| LC AMENDMENT | 2023-10-20 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-10-20 | 1825 RIVERVIEW DRIVE, MELBOURNE, FL 32901 | No data |
| CHANGE OF MAILING ADDRESS | 2023-10-20 | 1825 RIVERVIEW DRIVE, MELBOURNE, FL 32901 | No data |
| LC AMENDMENT | 2022-03-07 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| LC Amendment | 2023-10-20 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-30 |
| LC Amendment | 2022-03-07 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-06-08 |
| Florida Limited Liability | 2019-06-12 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
