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EMPOWERED THERAPY LLC

Company Details

Entity Name: EMPOWERED THERAPY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 04 Aug 2020 (5 years ago)
Document Number: L20000233215
FEI/EIN Number 85-2498374
Address: 7651 LAUREL VALLEY ROAD, FORT MYERS, FL, 33967, US
Mail Address: 7651 LAUREL VALLEY ROAD, FORT MYERS, FL, 33967, US
ZIP code: 33967
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841804341 2020-09-02 2020-09-02 7651 LAUREL VALLEY RD, FORT MYERS, FL, 339675000, US 7651 LAUREL VALLEY RD, FORT MYERS, FL, 339675000, US

Contacts

Phone +1 609-533-9438

Authorized person

Name MS. SONYA DIANN SPRADLEY
Role OWNER/ SPEECH-LANGUAGE PATHOLOGIST
Phone 6095339438

Taxonomy

Taxonomy Code 235Z00000X - Speech-Language Pathologist
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 1124535273
State FL

Agent

Name Role Address
SPRADLEY SONYA Agent 7651 LAUREL VALLEY ROAD, FORT MYERS, FL, 33967

Authorized Person

Name Role Address
SPRADLEY SONYA Authorized Person 7651 LAUREL VALLEY ROAD, FORT MYERS, FL, 33967

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-02-25
Florida Limited Liability 2020-08-04

Date of last update: 02 Feb 2025

Sources: Florida Department of State