| Entity Name: | SIMPLE SPEECH THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 Sep 2020 (4 years ago) |
| Document Number: | L20000299095 |
| FEI/EIN Number | 85-3295042 |
| Address: | 8390 CHAMPIONS GATE BLVD, Suite 205, CHAMPIONS GATE, FL 32896 |
| Mail Address: | 8390 CHAMPIONS GATE BLVD, Suite 205, CHAMPIONS GATE, FL 32896 |
| ZIP code: | 32896 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922605989 | 2020-10-02 | 2020-10-02 | 10533 BILLINGS ST, ORLANDO, FL, 328324911, US | 10533 BILLINGS ST, ORLANDO, FL, 328324911, US | |||||||||||||
|
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| Phone | +1 850-461-5676 |
Authorized person
| Name | ASHTYN MOUTON |
| Role | SPEECH LANGUAGE PATHOLGIST |
| Phone | 8504615676 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOUTON, ASHTYN L | Agent | 1492 Olympic Club Blvd, Davenport, FL 33896 |
| Name | Role | Address |
|---|---|---|
| Mouton, Ashtyn | Manager | 1492 Olympic Club Blvd, Champions Gate, FL 33896 |
| Mouton, Camron | Manager | 1492 Olympic Club Blvd., Champions Gate, FL 33896 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-08-26 | 8390 CHAMPIONS GATE BLVD, Suite 205, CHAMPIONS GATE, FL 32896 | No data |
| CHANGE OF MAILING ADDRESS | 2021-08-26 | 8390 CHAMPIONS GATE BLVD, Suite 205, CHAMPIONS GATE, FL 32896 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-18 | 1492 Olympic Club Blvd, Davenport, FL 33896 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-18 |
| Florida Limited Liability | 2020-09-22 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
