| Entity Name: | GROW, EMPOWER, TRANSFORM THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Jul 2020 (5 years ago) |
| Document Number: | L20000223062 |
| FEI/EIN Number | 85-2471839 |
| Address: | 2700 North MacDill Avenue, Ste 116, Tampa, FL, 33607, US |
| Mail Address: | P. O. Box 10192, Tampa, FL, 33679, US |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013524149 | 2020-09-23 | 2024-06-12 | PO BOX 10192, TAMPA, FL, 336790192, US | 2700 N MACDILL AVE STE 116, TAMPA, FL, 336072284, US | |||||||||||||
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| Phone | +1 813-563-8227 |
Authorized person
| Name | MRS. DENISE D MOORE |
| Role | OWNER, CLINICAL DIRECTOR |
| Phone | 8135638227 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Moore Denise D | Agent | 12101 North Dale Mabry Highway, Tampa, FL, 33618 |
| Name | Role | Address |
|---|---|---|
| Moore Denise D | Manager | Apt. 1406, Tampa, FL, 33618 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-27 | 2700 North MacDill Avenue, Ste 116, Tampa, FL 33607 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-27 | 2700 North MacDill Avenue, Ste 116, Tampa, FL 33607 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-04-27 | Moore, Denise D | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-27 | 12101 North Dale Mabry Highway, Apt. 1406, Tampa, FL 33618 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-09 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2021-03-19 |
| Florida Limited Liability | 2020-07-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
