| Entity Name: | OPAL SKY THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Jul 2021 (4 years ago) |
| Document Number: | L21000337922 |
| FEI/EIN Number | 87-1909041 |
| Address: | 121 GRANDE BERWICK CT, DAYTONA BEACH, FL, 32124, UN |
| Mail Address: | 121 GRANDE BERWICK CT, DAYTONA BEACH, FL, 32124, UN |
| ZIP code: | 32124 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588483473 | 2024-10-08 | 2024-10-08 | 121 GRANDE BERWICK CT, DAYTONA BEACH, FL, 321242100, US | 121 GRANDE BERWICK CT, DAYTONA BEACH, FL, 321242100, US | |||||||||||||||
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| Phone | +1 352-600-4644 |
| Fax | 3867770442 |
Authorized person
| Name | AMANDA SEILER-ADAMS |
| Role | OWNER/THERAPIST |
| Phone | 5615732983 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SEILER-ADAMS AMANDA | Agent | 121 GRANDE BERWICK CT, DAYTONA BEACH, FL, 32124 |
| Name | Role | Address |
|---|---|---|
| SEILER-ADAMS AMANDA | Manager | 121 GRANDE BERWICK COURT, DAYTONA BEACH, FL, 32124 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-03 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-04-10 |
| Florida Limited Liability | 2021-07-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
