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WILLOW TREE THERAPY SERVICES, LLC - Florida Company Profile

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Company Details

Entity Name: WILLOW TREE THERAPY SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 Dec 2019 (6 years ago)
Document Number: L19000298857
FEI/EIN Number 84-4135939
Address: 6924 East Mount Vernon Street Suite 107, Glen Saint Mary, FL, 32040, US
Mail Address: 6924 East Mount Vernon Street Suite 107, Glen Saint Mary, FL, 32040, US
ZIP code: 32040
City: Glen Saint Mary
County: Baker
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Bailey Amanda N Auth 6924 East Mount Vernon Street, Glen Saint Mary, FL, 32040
Bailey Amanda N Agent 7129 West Smooth Bore Ave, Glen St Mary, FL, 32040

Unique Entity ID

Unique Entity ID:
KZVYBR4QBBC5
UEI Expiration Date:
2026-03-07

Business Information

Activation Date:
2025-03-11
Initial Registration Date:
2025-03-05

National Provider Identifier

NPI Number:
1134751753
Certification Date:
2020-02-11

Authorized Person:

Name:
AMANDA N BAILEY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-09-27 6924 East Mount Vernon Street Suite 107, Glen Saint Mary, FL 32040 -
CHANGE OF MAILING ADDRESS 2023-09-27 6924 East Mount Vernon Street Suite 107, Glen Saint Mary, FL 32040 -
REGISTERED AGENT NAME CHANGED 2023-04-28 Bailey, Amanda Nicole -
REGISTERED AGENT ADDRESS CHANGED 2023-04-28 7129 West Smooth Bore Ave, Glen St Mary, FL 32040 -

Documents

Name Date
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-04-06
ANNUAL REPORT 2021-03-01
ANNUAL REPORT 2020-05-28
Florida Limited Liability 2019-12-13

USAspending Awards / Financial Assistance

Date:
2020-06-23
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-06-23
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 03 Aug 2025

Sources: Florida Department of State