| Entity Name: | PSYCHOLOGICAL WELLNESS GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 May 2021 (4 years ago) |
| Document Number: | L21000231982 |
| FEI/EIN Number | 87-0831254 |
| Address: | 1311 N Paul Russell Rd, B102, TALLAHASSEE, FL, 32301, US |
| Mail Address: | 1311 N Paul Russell Rd, B102, TALLAHASSEE, FL, 32301, US |
| ZIP code: | 32301 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548986052 | 2022-10-17 | 2022-10-17 | 1311 N PAUL RUSSELL RD STE B102, TALLAHASSEE, FL, 323014880, US | 1311 N PAUL RUSSELL RD STE B102, TALLAHASSEE, FL, 323014880, US | |||||||||||||||||||||
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| Phone | +1 850-759-7332 |
Authorized person
| Name | DR. SYLWIA PATRYCJA HODOREK |
| Role | LICENSED PSYCHOLOGIST |
| Phone | 8507597332 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | Yes |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | No |
| Taxonomy Code | 103TC1900X - Counseling Psychologist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| HODOREK SYLWIA PDR. | Agent | 1311 N Paul Russell Rd, B102, TALLAHASSEE, FL, 32301 |
| Name | Role | Address |
|---|---|---|
| HODOREK SYLWIA PDR. | Manager | 1311 N Paul Russell Rd, B102, TALLAHASSEE, FL, 32301 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-05-01 | 1311 N Paul Russell Rd, B102, TALLAHASSEE, FL 32301 | No data |
| CHANGE OF MAILING ADDRESS | 2023-05-01 | 1311 N Paul Russell Rd, B102, TALLAHASSEE, FL 32301 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-05-01 | 1311 N Paul Russell Rd, B102, TALLAHASSEE, FL 32301 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-10 |
| Florida Limited Liability | 2021-05-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
