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HAVEN FOR HEALING, WELLNESS AND RESTORATION, LLC

Company Details

Entity Name: HAVEN FOR HEALING, WELLNESS AND RESTORATION, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 May 2020 (5 years ago)
Document Number: L20000136062
FEI/EIN Number 852809802
Address: 2892 East Park Avenue, TALLAHASSEE, FL, 32301, US
Mail Address: 2892 East Park Avenue, TALLAHASSEE, FL, 32301, US
ZIP code: 32301
County: Leon
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588278196 2020-09-01 2023-09-11 2892 E PARK AVE STE 2A, TALLAHASSEE, FL, 323013447, US 267 JOHN KNOX RD STE 202, TALLAHASSEE, FL, 323036692, US

Contacts

Phone +1 803-800-4011

Authorized person

Name BRITTANY PAYNE BRUCE
Role OWNER/MANAGER
Phone 8038004011

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role Address
PAYNE BRUCE BRITTANY B Agent 3488 TORCHMARK LANE, TALLAHASSEE, FL, 32308

Manager

Name Role Address
PAYNE BRUCE BRITTANY B Manager 3488 TORCHMARK LANE, TALLAHASSEE, FL, 32308

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-09-06 2892 East Park Avenue, Suite 2a, TALLAHASSEE, FL 32301 No data
CHANGE OF MAILING ADDRESS 2023-09-06 2892 East Park Avenue, Suite 2a, TALLAHASSEE, FL 32301 No data
REGISTERED AGENT ADDRESS CHANGED 2022-04-29 3488 TORCHMARK LANE, TALLAHASSEE, FL 32308 No data

Documents

Name Date
ANNUAL REPORT 2024-04-01
ANNUAL REPORT 2023-03-23
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-02-24
Florida Limited Liability 2020-05-19

Date of last update: 01 Feb 2025

Sources: Florida Department of State