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MANGROVE THERAPY GROUP LLC - Florida Company Profile

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Company Details

Entity Name: MANGROVE THERAPY GROUP LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 10 Jan 2022 (4 years ago)
Document Number: L22000022974
FEI/EIN Number 87-4338801
Address: 401 LINTON BLVD STE 200-A, DELRAY BEACH, FL, 33444
Mail Address: 401 LINTON BLVD STE 200-A, MAILBOX 5, DELRAY BEACH, FL, 33444
ZIP code: 33444
City: Delray Beach
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
GONG BRIAN M Authorized Member 401 LINTON BLVD STE 200-A, DELRAY BEACH, FL, 33444
ZARMANIAN ASHLEY N Authorized Member 401 LINTON BLVD STE 200-A, DELRAY BEACH, FL, 33444

National Provider Identifier

NPI Number:
1942952213
Certification Date:
2022-01-19

Authorized Person:

Name:
BRIAN GONG
Role:
OWNER/PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Fax:
5618473299

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000014131 MANGROVE THERAPY GROUP ACTIVE 2022-02-05 2027-12-31 - 401 LINTON BLVD STE 200-A, MAILBOX 5, DELRAY BEACH, FL, 33444

Documents

Name Date
ANNUAL REPORT 2025-02-06
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-03-02
Florida Limited Liability 2022-01-10

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Date of last update: 02 Aug 2025

Sources: Florida Department of State