| Entity Name: | TALK THE TALK THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 May 2021 (4 years ago) |
| Document Number: | L21000203476 |
| FEI/EIN Number | 86-3935715 |
| Address: | 532 RIVERSIDE DRIVE, PALM BEACH GARDENS, FL, 33410, US |
| Mail Address: | 532 RIVERSIDE DRIVE, PALM BEACH GARDENS, FL, 33410, US |
| ZIP code: | 33410 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053081919 | 2021-09-14 | 2021-09-14 | 532 RIVERSIDE DR, PALM BEACH GARDENS, FL, 334104845, US | 532 RIVERSIDE DR, PALM BEACH GARDENS, FL, 334104845, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 772-362-9370 |
| Fax | 3055038984 |
Authorized person
| Name | DANA M DIANTONIO |
| Role | OWNER |
| Phone | 7323201924 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 105274300 |
| State | FL |
| Issuer | MEDICAID |
| Number | 107168700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BREDL DANA D | Agent | 532 RIVERSIDE DRIVE, PALM BEACH GARDENS, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| BREDL DANA D | Chief Executive Officer | 532 RIVERSIDE DRIVE, PALM BEACH GARDENS, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| BREDL DANA D | Owne | 532 RIVERSIDE DRIVE, PALM BEACH GARDENS, FL, 33410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-05-03 | BREDL, DANA DIANTONIO | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-05-03 |
| ANNUAL REPORT | 2024-03-26 |
| ANNUAL REPORT | 2023-04-15 |
| ANNUAL REPORT | 2022-03-22 |
| Florida Limited Liability | 2021-05-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
