| Entity Name: | LIFESPRING THERAPY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Sep 2021 (3 years ago) |
| Document Number: | L21000396969 |
| FEI/EIN Number | 87-2619210 |
| Address: | 10300 49th Street North Suite 526, Clearwater, FL, 33762, US |
| Mail Address: | 10300 49th Street North Suite 526, Clearwater, FL, 33762, US |
| ZIP code: | 33762 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215695432 | 2021-12-05 | 2024-07-12 | 8021 28TH AVE N, ST PETERSBURG, FL, 337102864, US | 10300 49TH ST N STE 526, CLEARWATER, FL, 337625000, US | |||||||||||||
|
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| Phone | +1 754-300-6325 |
Authorized person
| Name | MR. MARK MILLER |
| Role | MEMBER |
| Phone | 7543006325 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| MILLER MARK | Authorized Member | 10300 49th Street North Suite 526, Clearwater, FL, 33762 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-06 | 10300 49th Street North Suite 526, Clearwater, FL 33762 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-06 | 10300 49th Street North Suite 526, Clearwater, FL 33762 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-18 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-28 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-04-15 |
| Florida Limited Liability | 2021-09-07 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
