Entity Name: | PROVISION THERAPY LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 29 Dec 2020 (4 years ago) |
Document Number: | L21000006825 |
FEI/EIN Number | 86-1442787 |
Address: | 3250 DUNLEITH LN, TALLAHASSEE, FL 32311 |
Mail Address: | 3250 DUNLEITH LN, TALLAHASSEE, FL 32311 |
ZIP code: | 32311 |
County: | Leon |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1023609013 | 2021-02-01 | 2021-02-22 | 3250 DUNLEITH LN, TALLAHASSEE, FL, 323113705, US | 3250 DUNLEITH LN, TALLAHASSEE, FL, 323113705, US | |||||||||||||||||||||
|
Phone | +1 847-565-9156 |
Authorized person
Name | MICHELLE WEEKS |
Role | MANAGING PARTNER/COO |
Phone | 8475659156 |
Taxonomy
Taxonomy Code | 225100000X - Physical Therapist |
Is Primary | Yes |
Taxonomy Code | 225X00000X - Occupational Therapist |
Is Primary | No |
Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
Is Primary | No |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
PROVISION THERAPY LLC-401K | 2023 | 861442787 | 2024-09-12 | PROVISION THERAPY LLC | 5 | |||||||||||||||||||||||
|
Role | Plan administrator |
Date | 2024-09-12 |
Name of individual signing | NICK RICE |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2021-06-01 |
Business code | 621340 |
Sponsor’s telephone number | 8475659156 |
Plan sponsor’s address | 3250 DUNLEITH LANE, TALLAHASSEE, FL, 32311 |
Signature of
Role | Plan administrator |
Date | 2023-09-12 |
Name of individual signing | NICK RICE |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2021-06-01 |
Business code | 621340 |
Sponsor’s telephone number | 8475659156 |
Plan sponsor’s address | 3250 DUNLEITH LANE, TALLAHASSEE, FL, 32311 |
Signature of
Role | Plan administrator |
Date | 2022-07-13 |
Name of individual signing | SHIRLEY HORNER |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Address |
---|---|---|
WEEKS, SHAWN | Agent | 3250 DUNLEITH LN, TALLAHASSEE, FL 32550 |
Name | Role |
---|---|
SMW CONSULTING GROUP, LLC | Authorized Member |
Name | Date |
---|---|
ANNUAL REPORT | 2024-05-13 |
ANNUAL REPORT | 2023-05-01 |
AMENDED ANNUAL REPORT | 2022-05-28 |
ANNUAL REPORT | 2022-01-19 |
AMENDED ANNUAL REPORT | 2021-05-18 |
ANNUAL REPORT | 2021-01-29 |
Florida Limited Liability | 2020-12-29 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State