| Entity Name: | AS YOU GROW THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Jun 2021 (4 years ago) |
| Document Number: | L21000281071 |
| FEI/EIN Number | 87-2226126 |
| Mail Address: | 3396 Florigold Grove Street, Clermont, FL, 34711, US |
| Address: | 2250 Lucien way, Maitland, FL, 32751, US |
| ZIP code: | 32751 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972272714 | 2021-09-07 | 2023-09-07 | 2250 LUCIEN WAY STE 220, MAITLAND, FL, 327517004, US | 2250 LUCIEN WAY STE 220, MAITLAND, FL, 327517004, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 407-308-2225 |
Authorized person
| Name | MRS. KAREN GARCIA |
| Role | CO-OWNER |
| Phone | 4076160587 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 018093000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GARCIA KAREN | Agent | 3396 Florigold Grove Street, Clermont, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| GARCIA KAREN | Manager | 3396 Florigold Grove Street, Clermont, FL, 34711 |
| FOX MEGAN | Manager | 8700 Maitland Summit Blvd, Maitland, FL, 32810 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-09-20 | 2250 Lucien way, Suite 220, Maitland, FL 32751 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-27 | 2250 Lucien way, Suite 220, Maitland, FL 32751 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-27 | 3396 Florigold Grove Street, Clermont, FL 34711 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-09 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-07 |
| Florida Limited Liability | 2021-06-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
