Entity Name: | A LITTLE THERAPY,PLLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 14 May 2021 (4 years ago) |
Document Number: | L21000216694 |
FEI/EIN Number | 86-3880867 |
Address: | 3421 SR21, Atmore, AL, 36502, US |
Mail Address: | 5020 Highway 164, McDavid, FL, 32568, US |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1043956105 | 2022-05-10 | 2022-05-10 | 7901 4TH ST N STE 4000, ST PETERSBURG, FL, 337024305, US | 8511 MYSLAK WAY UNIT 2210, PENSACOLA, FL, 325267894, US | |||||||||||||||||||
|
Phone | +1 850-601-1679 |
Authorized person
Name | JENNIFER LEE LITTLE |
Role | PRIMARY MEMBER |
Phone | 8506011679 |
Taxonomy
Taxonomy Code | 106H00000X - Marriage & Family Therapist |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 1881162220 |
State | FL |
Name | Role | Address |
---|---|---|
Mason Leilani | Agent | 5020 Highway 164, McDavid, FL, 32568 |
Name | Role | Address |
---|---|---|
Little Jennifer | Chief Executive Officer | 3421 SR21, Atmore, AL, 36502 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-03-24 | 3421 SR21, Atmore, AL 36502 | No data |
CHANGE OF MAILING ADDRESS | 2024-03-24 | 3421 SR21, Atmore, AL 36502 | No data |
REGISTERED AGENT NAME CHANGED | 2024-03-24 | Mason, Leilani | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-03-24 | 5020 Highway 164, McDavid, FL 32568 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-24 |
ANNUAL REPORT | 2023-05-01 |
ANNUAL REPORT | 2022-04-29 |
Florida Limited Liability | 2021-05-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State