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CREATING CHANGES THERAPY LLC

Company Details

Entity Name: CREATING CHANGES THERAPY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 22 Feb 2021 (4 years ago)
Date of dissolution: 08 Feb 2022 (3 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 08 Feb 2022 (3 years ago)
Document Number: L21000087315
Address: 433 plaza real suite 275, boca raton, FL 33432
Mail Address: 637 EAST MOWRY CT, HOMESTEAD, FL 33030
ZIP code: 33432
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1245812379 2021-04-27 2021-04-27 433 PLAZA REAL STE 275, BOCA RATON, FL, 334323999, US 433 PLAZA REAL STE 275, BOCA RATON, FL, 334323999, US

Contacts

Phone +1 305-992-2446

Authorized person

Name CARLOS A CARRILLO
Role MGR
Phone 3059922446

Taxonomy

Taxonomy Code 261QH0100X - Health Service Clinic/Center
Is Primary Yes

Agent

Name Role Address
CARRILLO, CARLOS A Agent 433 plaza real suite 275, boca raton, FL 33432

Manager

Name Role Address
CARRILLO, CARLOS A Manager 433 PLAZA REAL SUITE 275, BOCA RATON, FL 33432

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2022-02-08 No data No data
LC AMENDMENT 2021-03-29 No data No data
CHANGE OF PRINCIPAL ADDRESS 2021-03-29 433 plaza real suite 275, boca raton, FL 33432 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2022-02-08
LC Amendment 2021-03-29
Florida Limited Liability 2021-02-22

Date of last update: 14 Jan 2025

Sources: Florida Department of State