| Entity Name: | FOOTSTEPS TO WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Mar 2020 (5 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 29 Aug 2023 (a year ago) |
| Document Number: | L20000086121 |
| FEI/EIN Number | 85-0726270 |
| Address: | 121 E DIVISION ST, STE F, CLERMONT, FL 34711 |
| Mail Address: | P.O.BOX 137283, CLERMONT, FL 34713 |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508486291 | 2020-04-22 | 2021-12-30 | PO BOX 137283, CLERMONT, FL, 347137283, US | 121 E DIVISION ST UNIT F, CLERMONT, FL, 347117951, US | |||||||||||||||||||||||||
|
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| Phone | +1 352-388-7075 |
Authorized person
| Name | MICHELLE HYLTON |
| Role | OWNER |
| Phone | 3523887075 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOUIS, LERICHE | Agent | 1542 SW LATSHAW AVENUE, PORT ST LUCIE, FL 34953 |
| Name | Role | Address |
|---|---|---|
| HYLTON, MICHELLE | Manager | 121 E DIVISION STREET, STE F CLERMONT, FL 34711 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000111243 | FOOTSTEPS TO WELLNESS | ACTIVE | 2021-08-27 | 2026-12-31 | No data | PO BOX 137283, CLERMONT, FL, 34713 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC NAME CHANGE | 2023-08-29 | FOOTSTEPS TO WELLNESS LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-08-17 | 121 E DIVISION ST, STE F, CLERMONT, FL 34711 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| LC Name Change | 2023-08-29 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-04-10 |
| ANNUAL REPORT | 2021-04-16 |
| Florida Limited Liability | 2020-03-20 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
