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GRACEWORKS WELLNESS, LLC

Company Details

Entity Name: GRACEWORKS WELLNESS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 29 Apr 2020 (5 years ago)
Document Number: L20000116156
FEI/EIN Number 85-1730871
Address: 31640 US HWY 19 N, SUITE 2, PALM HARBOR, FL, 34684
Mail Address: 31640 US HWY 19 N, SUITE 2, PALM HARBOR, FL, 34684
ZIP code: 34684
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366103947 2022-01-05 2022-01-05 31640 US HIGHWAY 19 N STE 2, PALM HARBOR, FL, 346843738, US 31640 US HIGHWAY 19 N STE 2, PALM HARBOR, FL, 346843738, US

Contacts

Phone +1 615-512-2178

Authorized person

Name SARAH MYERS
Role OWNER
Phone 6155122178

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role Address
MYERS SARAH Agent 31640 US HWY 19 N, PALM HARBOR, FL, 34684

Manager

Name Role Address
MYERS SARAH Manager 31640 US HWY 19 N, PALM HARBOR, FL, 34684

Documents

Name Date
ANNUAL REPORT 2024-03-06
ANNUAL REPORT 2023-03-01
ANNUAL REPORT 2022-01-04
ANNUAL REPORT 2021-02-11
Florida Limited Liability 2020-04-29

Date of last update: 02 Feb 2025

Sources: Florida Department of State