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THERALOGY, LLC

Company Details

Entity Name: THERALOGY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 10 Nov 2020 (4 years ago)
Document Number: L20000355976
FEI/EIN Number 853837974
Address: 1015 ATLANTIC BLVD, SUITE 161, ATLANTIC BEACH, FL, 32233, US
Mail Address: 1015 ATLANTIC BLVD, SUITE 161, ATLANTIC BEACH, FL, 32233, US
ZIP code: 32233
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154918209 2020-12-23 2020-12-23 1015 ATLANTIC BLVD STE 161, ATLANTIC BEACH, FL, 322333313, US 4300 MARSH LANDING BLVD, SUITE 204, JACKSONVILLE BEACH, FL, 32250, US

Contacts

Phone +1 904-515-2370
Phone +1 904-515-2050

Authorized person

Name CHRISTINE ELLIS
Role MGR
Phone 9045152370

Taxonomy

Taxonomy Code 101YP2500X - Professional Counselor
Is Primary Yes

Agent

Name Role Address
ELLIS BRIAN A Agent 1015 ATLANTIC BLVD, ATLANTIC BEACH, FL, 32233

Manager

Name Role Address
ELLIS CHRISITNE C Manager 1015 ATLANTIC BLVD #161, ATLANTIC BEACH, FL, 32233
ELLIS BRIAN A Manager 1015 ATLANTIC BLVD #161, ATLANTIC BEACH, FL, 32233

Documents

Name Date
ANNUAL REPORT 2024-01-30
ANNUAL REPORT 2023-01-29
ANNUAL REPORT 2022-03-22
Florida Limited Liability 2020-11-10

Date of last update: 02 Feb 2025

Sources: Florida Department of State