| Entity Name: | DESHEA SANDLES, LCSW, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Sep 2021 (3 years ago) |
| Document Number: | L21000405495 |
| FEI/EIN Number | 87-2650466 |
| Address: | 4927 HERITAGE PARK BLVD, TALLAHASSEE, FL 32311 |
| Mail Address: | 4927 HERITAGE PARK BLVD, TALLAHASSEE, FL 32311 |
| ZIP code: | 32311 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144944653 | 2022-09-28 | 2022-09-28 | 3122 MAHAN DR STE 801-203, TALLAHASSEE, FL, 323082500, US | 3122 MAHAN DR STE 801-203, TALLAHASSEE, FL, 323082500, US | |||||||||||||||||
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| Phone | +1 850-901-0789 |
Authorized person
| Name | DESHEA SANDLES |
| Role | LICENSED CLINICAL SOCIAL WORKER/OWN |
| Phone | 8504593155 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NA |
| Number | FL |
| Name | Role | Address |
|---|---|---|
| SANDLES, DESHEA N | Agent | 4927 HERITAGE PARK BLVD, TALLAHASSEE, FL 32311 |
| Name | Role | Address |
|---|---|---|
| SANDLES, DESHEA N | Authorized Member | 4927 HERITAGE PARK BLVD, TALLAHASSEE, FL 32311 |
| Name | Role | Address |
|---|---|---|
| SANDLES, NICHOLAS J | Manager | 4927 HERITAGE PARK BLVD, TALLAHASSEE, FL 32311 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-03-12 |
| ANNUAL REPORT | 2022-02-04 |
| Florida Limited Liability | 2021-09-13 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
