Entity Name: | WELLNESS CENTER FOR HEALING LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 01 Oct 2019 (5 years ago) |
Date of dissolution: | 23 Sep 2022 (2 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 23 Sep 2022 (2 years ago) |
Document Number: | L19000246986 |
FEI/EIN Number | 84-3221993 |
Mail Address: | 2450 N POWERLINE RD, POMPANO BEACH, FL, 33069, US |
Address: | 1990 NORTH FEDERAL HWY, SUITE B, POMPANO BEACH, FL, 33062, US |
ZIP code: | 33062 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1518508100 | 2019-10-04 | 2019-10-04 | 1990 N FEDERAL HWY STE B, POMPANO BEACH, FL, 330621032, US | 1990 N FEDERAL HWY STE B, POMPANO BEACH, FL, 330621032, US | |||||||||||||||||||||||||||||||
|
Phone | +1 561-252-9389 |
Fax | 9543661430 |
Authorized person
Name | SAMANTHA V HEWITT |
Role | CEO |
Phone | 5612529389 |
Taxonomy
Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
Is Primary | No |
Taxonomy Code | 101YM0800X - Mental Health Counselor |
Is Primary | No |
Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
Is Primary | Yes |
Taxonomy Code | 1041C0700X - Clinical Social Worker |
Is Primary | No |
Taxonomy Code | 2084P0802X - Addiction Psychiatry Physician |
Is Primary | No |
Name | Role | Address |
---|---|---|
Russell Amy | Agent | 1990 NORTH FEDERAL HWY, POMPANO BEACH, FL, 33062 |
Name | Role | Address |
---|---|---|
RUSSELL DAVID | Authorized Member | 534 DELAWARE AVE, BUFFALO, NY, 14202 |
Name | Role | Address |
---|---|---|
Russell Amy | Manager | 42 Harbor Hill Road, Grosse Pointe Farms, MI, 48236 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2021-03-08 | Russell, Amy | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2021-03-08 |
ANNUAL REPORT | 2020-05-21 |
Florida Limited Liability | 2019-10-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State