| Entity Name: | LEVEL WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Feb 2020 (5 years ago) |
| Document Number: | L20000042931 |
| FEI/EIN Number | 82-5261603 |
| Address: | 360 CENTRAL AVE, 8TH FLOOR, ST PETERSBURG, FL, 33701, US |
| Mail Address: | 360 Central Ave, FL 8, ST PETERSBURG, FL, 33701, US |
| ZIP code: | 33701 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104318633 | 2018-05-31 | 2018-05-31 | 765 60TH AVE NE, ST PETERSBURG, FL, 337031629, US | 360 CENTRAL AVE FL 8, ST PETERSBURG, FL, 337013832, US | |||||||||||||||||||||||||||||
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| Phone | +1 813-505-0224 |
| Phone | +1 727-344-9607 |
Authorized person
| Name | RICHARD BRIAN PIPPINGER |
| Role | OWNER |
| Phone | 7273449607 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1770023467 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PIPPINGER RICHARD B | Agent | 765 60TH AVE NE, ST PETERSBURG, FL, 33703 |
| Name | Role | Address |
|---|---|---|
| PIPPINGER RICHARD B | Manager | 765 60TH AVE NE, ST PETERSBURG, FL, 33703 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-03-07 | 360 CENTRAL AVE, 8TH FLOOR, ST PETERSBURG, FL 33701 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-04-08 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-02-15 |
| Florida Limited Liability | 2020-02-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
