| Entity Name: | PERSPECTIVES ANEW THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Feb 2020 (5 years ago) |
| Document Number: | L20000059972 |
| FEI/EIN Number | 84-4910305 |
| Address: | 4237 Salisbury Road, Building 3, Jacksonville, FL, 32216, US |
| Mail Address: | 4237 Salisbury Road, Building 3, Jacksonville, FL, 32216, US |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871115022 | 2020-05-11 | 2024-02-15 | 4237 SALISBURY RD STE 302, JACKSONVILLE, FL, 322160908, US | 4237 SALISBURY RD STE 302, JACKSONVILLE, FL, 322160908, US | |||||||||||||||||||||
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| Phone | +1 904-414-2524 |
| Fax | 9044313542 |
Authorized person
| Name | STEPHANIE PEYTON |
| Role | OWNER/PROVIDER |
| Phone | 9044142524 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 105093400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PEYTON STEPHANIE M | Agent | 4237 Salisbury Road, Jacksonville, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| Peyton Stephanie LCSW | Owne | 4237 Salisbury Road, Jacksonville, FL, 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-03 | 4237 Salisbury Road, Building 3, Suite 302, Jacksonville, FL 32216 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-03 | 4237 Salisbury Road, Building 3, Suite 302, Jacksonville, FL 32216 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-03 | 4237 Salisbury Road, Building 3, Suite 302, Jacksonville, FL 32216 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-02-03 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-08-05 |
| Florida Limited Liability | 2020-02-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
