| Entity Name: | TRAUMA HEALING COLLECTIVE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Mar 2022 (3 years ago) |
| Document Number: | L22000137229 |
| FEI/EIN Number | 88-1578733 |
| Address: | 2344 HANSEN LANE, UNIT 1, TALLAHASSEE, FL, 32301, US |
| Mail Address: | 2344 HANSEN LANE, UNIT 1, TALLAHASSEE, FL, 32301, US |
| ZIP code: | 32301 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336880293 | 2022-04-05 | 2024-11-10 | 1114 THOMASVILLE RD STE W, TALLAHASSEE, FL, 323036273, US | 1114 THOMASVILLE RD STE W, TALLAHASSEE, FL, 323036273, US | |||||||||||||||||||||||
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| Phone | +1 850-273-0199 |
| Fax | 8507922491 |
Authorized person
| Name | MRS. KIMBERLY DIANE WILDER |
| Role | LMHC/OWNER |
| Phone | 8502730199 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CHRISTIAN KIMBERLY | Agent | 2344 HANSEN LANE, TALLAHASSEE, FL, 32301 |
| Name | Role | Address |
|---|---|---|
| CHRISTIAN KIMBERLY D | Foun | 2344 HANSEN LANE UNIT 1, TALLAHASSEE, FL, 32301 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-13 |
| ANNUAL REPORT | 2023-02-02 |
| Florida Limited Liability | 2022-03-21 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
