| Entity Name: | HOPE IN HEALING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Jul 2019 (6 years ago) |
| Document Number: | L19000186739 |
| FEI/EIN Number | 84-2618152 |
| Mail Address: | 4655 MAGNOLIA PRESERVE LOOP, WINTER HAVEN, FL, 33880, US |
| Address: | 4100 spirit lake rd, WINTER HAVEN, FL, 33880, US |
| ZIP code: | 33880 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891469425 | 2021-08-06 | 2021-08-06 | 4100 SPIRIT LAKE RD STE 4, WINTER HAVEN, FL, 338805081, US | 4100 SPIRIT LAKE RD STE 4, WINTER HAVEN, FL, 338805081, US | |||||||||||||||||||||
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| Phone | +1 863-258-6954 |
| Fax | 8632690246 |
Authorized person
| Name | MIRANDA HARRIS JOHNS |
| Role | CEO/OWNER |
| Phone | 8632586954 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 108401700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JOHNS MIRANDA | Agent | 4655 MAGNOLIA PRESERVE LOOP, WINTER HAVEN, FL, 33880 |
| Name | Role | Address |
|---|---|---|
| JOHNS MIRANDA | Manager | 4655 MAGNOLIA PRESERVE LOOP, WINTER HAVEN, FL, 33880 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-10 | 4100 spirit lake rd, ste 4, WINTER HAVEN, FL 33880 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-09 |
| ANNUAL REPORT | 2023-01-09 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-01-23 |
| Florida Limited Liability | 2019-07-19 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
