| Entity Name: | ALPHA LIFE MENTAL WELLNESS CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Dec 2020 (4 years ago) |
| Document Number: | L20000379433 |
| FEI/EIN Number | 85-4345629 |
| Address: | 13506 SUMMERPORT VILLAGE PARKWAY, SUITE 320, WINDERMERE, FL, 34786 |
| Mail Address: | 13506 SUMMERPORT VILLAGE PARKWAY, SUITE 320, WINDERMERE, FL, 34786 |
| ZIP code: | 34786 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376136739 | 2021-02-17 | 2021-08-24 | 13506 SUMMERPORT VILLAGE PKWY STE 320, WINDERMERE, FL, 347867366, US | 7208 W SAND LAKE RD, ORLANDO, FL, 328195200, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 407-410-8621 |
Authorized person
| Name | MRS. IJEOMA E OFOKANSI |
| Role | APRN |
| Phone | 4074108621 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| OFOKANSI DAVIDSON C | Agent | 13506 SUMMERPORT VILLAGE PARKWAY, WINDERMERE, FL, 34786 |
| Name | Role | Address |
|---|---|---|
| OFOKANSI IJEOMA E | Manager | 13506 SUMMERPORT VILLAGE PARKWAY SUITE 320, WINDERMERE, FL, 34786 |
| OFOKANSI DAVIDSON C | Manager | 13506 SUMMERPORT VILLAGE PARKWAY SUITE 320, WINDERMERE, FL, 34786 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-02-02 |
| Florida Limited Liability | 2020-12-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
