Entity Name: | WINDING ARBORS MENTAL HEALTH LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 12 Feb 2021 (4 years ago) |
Document Number: | L21000074266 |
FEI/EIN Number | 86-2192092 |
Address: | 2837 1st Ave N, St. Petersburg, FL 33713 |
Mail Address: | 2837 1st Ave N, St. Petersburg, FL 33713 |
ZIP code: | 33713 |
County: | Pinellas |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1730757303 | 2021-06-11 | 2021-10-26 | 2600 1ST AVE S, SAINT PETERSBURG, FL, 337121108, US | 2961 1ST AVE N STE C, SAINT PETERSBURG, FL, 337138605, US | |||||||||||||||
|
Phone | +1 727-334-1546 |
Fax | 7276082974 |
Authorized person
Name | MR. JARRYD DOUGLAS LUNGER |
Role | OWNER/OPERATER |
Phone | 7273341546 |
Taxonomy
Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
LUNGER, JARRYD D, MR. | Agent | 2837 1st Ave N, St. Petersburg, FL 33713 |
Name | Role | Address |
---|---|---|
LUNGER, JARRYD D, MR. | Authorized Person | 2837 1st Ave N, St. Petersburg, FL 33713 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2022-07-19 | 2837 1st Ave N, St. Petersburg, FL 33713 | No data |
CHANGE OF MAILING ADDRESS | 2022-07-19 | 2837 1st Ave N, St. Petersburg, FL 33713 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2022-07-19 | 2837 1st Ave N, St. Petersburg, FL 33713 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-22 |
ANNUAL REPORT | 2023-03-31 |
ANNUAL REPORT | 2022-07-19 |
Florida Limited Liability | 2021-02-12 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State