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WINDSONG WELLNESS, LLC

Company Details

Entity Name: WINDSONG WELLNESS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 24 Apr 2020 (5 years ago)
Date of dissolution: 24 Sep 2021 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2021 (3 years ago)
Document Number: L20000112230
Address: 1562 SE VILLAGE GREEN DRIVE, SUITE 5 & 7, PORT SAINT LUCIE, FL 34952
Mail Address: 1238 SW AVENS STREET, PORT SAINT LUCIE, FL 34983
ZIP code: 34952
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1184245144 2020-04-30 2020-05-11 1238 SW AVENS ST, PORT SAINT LUCIE, FL, 349832506, US 1562 SE VILLAGE GREEN DR STE 5AND7, PORT SAINT LUCIE, FL, 349525100, US

Contacts

Phone +1 772-465-4044
Fax 7724686894

Authorized person

Name MR. BRETT LIEBERMAN
Role CEO
Phone 7724654044

Taxonomy

Taxonomy Code 106H00000X - Marriage & Family Therapist
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

Agent

Name Role Address
LIEBERMAN, BRETT Agent 1238 SW AVENS STREET, PORT SAINT LUCIE, FL 34983

Manager

Name Role Address
LIEBERMAN, BRETT Manager 1238 SW AVENS STREET, PORT SAINT LUCIE, FL 34983

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data

Documents

Name Date
Florida Limited Liability 2020-04-24

Date of last update: 16 Jan 2025

Sources: Florida Department of State