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BEYOND THE SCARS THERAPY, LLC

Company Details

Entity Name: BEYOND THE SCARS THERAPY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 29 Nov 2021 (3 years ago)
Document Number: L21000510550
FEI/EIN Number 87-4002307
Address: 1708 OLD RIVER TRAIL, CHULUOTA, FL, 32766
Mail Address: 1708 OLD RIVER TRAIL, CHULUOTA, FL, 32766
ZIP code: 32766
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093440844 2022-07-17 2022-07-17 1708 OLD RIVER TRL, CHULUOTA, FL, 327668603, US 1708 OLD RIVER TRL, CHULUOTA, FL, 327668603, US

Contacts

Phone +1 305-781-1682

Authorized person

Name TAMMY M BOLLES
Role PSYCHOTHERAPIST
Phone 3057811682

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role Address
BOLLES TAMMY Agent 1708 OLD RIVER TRAIL, CHULUOTA, FL, 32766

Manager

Name Role Address
BOLLES TAMMY Manager 1708 OLD RIVER TRAIL, CHULUOTA, FL, 32766

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-03-22
Florida Limited Liability 2021-11-29

Date of last update: 01 Feb 2025

Sources: Florida Department of State