| Entity Name: | BREAK REPAIR HEAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Sep 2021 (3 years ago) |
| Document Number: | L21000393108 |
| FEI/EIN Number | 87-2537034 |
| Address: | 2821 S. FERDON BLVD, SUITE 1010, CRESTVIEW, FL 32539 |
| Mail Address: | 2821 S. FERDON BLVD, SUITE 1010, CRESTVIEW, FL 32539 |
| ZIP code: | 32539 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972297414 | 2023-06-07 | 2023-06-22 | 2821 S FERDON BLVD # 1010, CRESTVIEW, FL, 325368474, US | 501 EISENHOWER DR, CRESTVIEW, FL, 325396955, US | |||||||||||||
|
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| Phone | +1 850-634-8465 |
Authorized person
| Name | DANIELLE WRENCHER |
| Role | CEO |
| Phone | 8506348465 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WRENCHER, DANIELLE J | Agent | 2821 S. FERDON BLVD, SUITE 1010, CRESTVIEW, FL 32539 |
| Name | Role | Address |
|---|---|---|
| WRENCHER, DANIELLE J | Managing Member | 501 EISENHOWER DRIVE, CRESTVIEW, FL 32539 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-09 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-08-23 |
| Florida Limited Liability | 2021-09-02 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
