| Entity Name: | STONE THERAPY AND CONSULTING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Apr 2021 (4 years ago) |
| Document Number: | L21000158475 |
| FEI/EIN Number | 86-3291110 |
| Address: | 915 NW 15th Ave, Gainesville, FL, 32601, US |
| Mail Address: | 915 NW 15th Ave, Gainesville, FL, 32601, US |
| ZIP code: | 32601 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033832605 | 2022-09-20 | 2022-09-20 | 1842 NE 167TH PL, GAINESVILLE, FL, 326094515, US | 3131 NW 13TH ST, GAINESVILLE, FL, 326095902, US | |||||||||||||||||
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| Phone | +1 386-316-6948 |
Authorized person
| Name | EZRA LAVENDER STONE |
| Role | CLINICIAN OWNER |
| Phone | 3863166948 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI NUMBER |
| Number | 1356806814 |
| Name | Role | Address |
|---|---|---|
| STONE Ezra L | Agent | 915 NW 15th Ave, Gainesville, FL, 32601 |
| Name | Role | Address |
|---|---|---|
| STONE Ezra L | RA | 915 NW 15th Ave, Gainesville, FL, 32601 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-05 | 915 NW 15th Ave, Gainesville, FL 32601 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-05 | 915 NW 15th Ave, Gainesville, FL 32601 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-05 | 915 NW 15th Ave, Gainesville, FL 32601 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-06-20 | STONE, Ezra L | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-03-21 |
| AMENDED ANNUAL REPORT | 2022-10-25 |
| AMENDED ANNUAL REPORT | 2022-06-20 |
| ANNUAL REPORT | 2022-04-26 |
| Florida Limited Liability | 2021-04-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
