| Entity Name: | STILL WATERS THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Nov 2019 (5 years ago) |
| Document Number: | L19000275479 |
| FEI/EIN Number | 84-4128912 |
| Address: | 4 OFFICE PARK DR., SUITE 202, PALM COAST, FL 32137 |
| Mail Address: | 31 RYDING LN, PALM COAST, FL 32164 |
| ZIP code: | 32137 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134737828 | 2020-07-19 | 2020-07-19 | 31 RYDING LN, PALM COAST, FL, 32164, US | 4 OFFICE PARK DR STE 202, PALM COAST, FL, 321373831, US | |||||||||||||||
|
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| Phone | +1 386-264-3464 |
| Phone | +1 386-387-1783 |
Authorized person
| Name | JACQUELINE TAYLOR |
| Role | OWNER |
| Phone | 3863737183 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TAYLOR, JACQUELINE M | Agent | 31 RYDING LN, PALM COAST, FL 32164 |
| Name | Role | Address |
|---|---|---|
| TAYLOR, JACQUELINE | Manager | 4 OFFICE PARK DR., STE 202, PALM COAST, FL 32137 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-03-28 |
| ANNUAL REPORT | 2021-02-12 |
| ANNUAL REPORT | 2020-02-13 |
| Florida Limited Liability | 2019-11-05 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
