| Entity Name: | PRACTICAL SAGE, CLINICAL SOCIAL WORK SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PRACTICAL SAGE, CLINICAL SOCIAL WORK SERVICES LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 04 Apr 2022 (3 years ago) |
| Document Number: | L22000161559 |
| FEI/EIN Number |
881851108
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 126 3rd Av N, SAFETY HARBOR, FL, 34695, US |
| Mail Address: | 126 3rd Av N, SAFETY HARBOR, FL, 34695, US |
| ZIP code: | 34695 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144963810 | 2022-04-19 | 2022-10-19 | 306 HAMILTON AVE, SAFETY HARBOR, FL, 346953213, US | 126 3RD AVE N STE 104, SAFETY HARBOR, FL, 346953658, US | |||||||||||||||||||
|
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| Phone | +1 727-712-0039 |
Authorized person
| Name | LAUREN GAVITT-RIVERA |
| Role | DIRECTOR |
| Phone | 7277120039 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 104967000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GAVITT-RIVERA LAUREN | Director | 306 HAMILTON AVE, SAFETY HARBOR, FL, 34695 |
| GAVITT-RIVERA LAUREN | Agent | 306 HAMILTON AVE, SAFETY HARBOR, FL, 34695 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-24 | 126 3rd Av N, SUITE 104, SAFETY HARBOR, FL 34695 | - |
| CHANGE OF MAILING ADDRESS | 2022-05-24 | 126 3rd Av N, SUITE 104, SAFETY HARBOR, FL 34695 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-18 |
| ANNUAL REPORT | 2023-01-26 |
| Florida Limited Liability | 2022-04-04 |
Date of last update: 03 Mar 2025
Sources: Florida Department of State
