| Entity Name: | HEALING ALLIANCE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Oct 2021 (3 years ago) |
| Document Number: | L21000468977 |
| FEI/EIN Number | 87-3407349 |
| Address: | 402 N. Babcock St, MELBOURNE, FL, 32935, US |
| Mail Address: | 751 ASHBURY AVE., MELBOURNE, FL, 32940 |
| ZIP code: | 32935 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053063735 | 2022-01-24 | 2024-01-18 | 751 ASHBURY AVE, MELBOURNE, FL, 329406426, US | 402 N BABCOCK ST, MELBOURNE, FL, 329357346, US | |||||||||||||
|
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| Phone | +1 321-343-6821 |
Authorized person
| Name | INGRID PINTO DE OTAZU |
| Role | OWNER/LMHC |
| Phone | 3213436821 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PINTO DE OTAZU INGRID | Agent | 751 ASHBURY AVE., MELBOURNE, FL, 32940 |
| Name | Role | Address |
|---|---|---|
| PINTO DE OTAZU INGRID | Authorized Member | 751 ASHBURY AVE., MELBOURNE, FL, 32940 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-24 | 402 N. Babcock St, 102, MELBOURNE, FL 32935 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-26 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-24 |
| Florida Limited Liability | 2021-10-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
