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THE LEGACY HOUSE PLLC

Company Details

Entity Name: THE LEGACY HOUSE PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 11 Mar 2020 (5 years ago)
Document Number: L20000079794
FEI/EIN Number 84-5074244
Address: 725 E 24th Plaza, Panama City, FL, 32405, US
Mail Address: 725 E 24th Plaza, Panama City, FL, 32405, US
ZIP code: 32405
County: Bay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932734845 2020-03-11 2020-08-07 2615 W 23RD ST, PANAMA CITY, FL, 324052339, US 2615 W 23RD ST, PANAMA CITY, FL, 324052339, US

Contacts

Phone +1 850-331-0134
Fax 8503066721

Authorized person

Name DENISE FOLSOM
Role LMHC
Phone 8503310134

Taxonomy

Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
Is Primary No
Taxonomy Code 261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary No
Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes

Agent

Name Role
THE LEGACY HOUSE PLLC Agent

Manager

Name Role Address
FOLSOM DENISE Manager 4213 DE LEN DR, PANAMA CITY, FL, 32404

CoOw

Name Role Address
Snider Trethany CoOw 725 E 24th Plaza, Panama City, FL, 32405

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-03-02 The Legacy House, PLLC No data
REGISTERED AGENT ADDRESS CHANGED 2023-03-02 725 E 24th Plaza, Panama City, FL 32405 No data
CHANGE OF PRINCIPAL ADDRESS 2022-02-28 725 E 24th Plaza, Panama City, FL 32405 No data
CHANGE OF MAILING ADDRESS 2022-02-28 725 E 24th Plaza, Panama City, FL 32405 No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-07-25
ANNUAL REPORT 2024-01-17
ANNUAL REPORT 2023-03-02
ANNUAL REPORT 2022-02-28
ANNUAL REPORT 2021-05-12
Florida Limited Liability 2020-03-11

Date of last update: 02 Feb 2025

Sources: Florida Department of State