| Entity Name: | SOCIAL WELLNESS ADVOCACY GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Feb 2022 (3 years ago) |
| Document Number: | L22000091285 |
| FEI/EIN Number | 84-2181580 |
| Address: | 2114 N. Flamingo Road, Pembroke Pines, FL, 33028, US |
| Mail Address: | 2114 N. Flamingo Road, Pembroke Pines, FL, 33028, US |
| ZIP code: | 33028 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467005538 | 2019-07-18 | 2019-07-18 | 890 NW 213TH TER APT 203, MIAMI GARDENS, FL, 331692181, US | 41 NE 95TH ST, MIAMI SHORES, FL, 331382706, US | |||||||||||||||||||||||
|
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| Phone | +1 786-707-5713 |
Authorized person
| Name | TEKISHA DURAND |
| Role | CEO/DIRECTOR |
| Phone | 7867075713 |
Taxonomy
| Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
| Is Primary | Yes |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1952785388 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DURAND TEKISHA | Agent | 41 NE 95th Street, Miami Shores, FL, 33138 |
| Name | Role | Address |
|---|---|---|
| DURAND TEKISHA | Authorized Member | 41 NE 95th Street, Miami Shores, FL, 33138 |
| Name | Role | Address |
|---|---|---|
| DURAND TEKISHA | Manager | 41 NE 95TH STREET, MIAMI SHORES, FL, 33138 |
| Name | Role | Address |
|---|---|---|
| DURAND TEKISHA | Director | 41 NE 95TH STREET, MIAMI SHORES, FL, 33138 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-29 | 2114 N. Flamingo Road, #981, Pembroke Pines, FL 33028 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-29 | 2114 N. Flamingo Road, #981, Pembroke Pines, FL 33028 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-29 | 41 NE 95th Street, Miami Shores, FL 33138 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-29 |
| Florida Limited Liability | 2022-02-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
