| Entity Name: | WILSON WELLNESS GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 May 2022 (3 years ago) |
| Document Number: | L22000233696 |
| FEI/EIN Number | 88-2582459 |
| Address: | 7710 NW 71ST CT, Ste 301, TAMARAC, FL 33321-2973 |
| Mail Address: | 7710 NW 71ST CT, Ste 301, TAMARAC, FL 33321-2973 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306585062 | 2022-06-01 | 2022-06-01 | 4750 NW 5TH PL, COCONUT CREEK, FL, 330636742, US | 7301 N UNIVERSITY DR STE 209, TAMARAC, FL, 333212935, US | |||||||||||||||||||||||||||||||
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| Phone | +1 954-554-3423 |
| Phone | +1 754-999-0410 |
Authorized person
| Name | GAIL WILSON |
| Role | OWNER/LICENSED THERAPIST |
| Phone | 7549990410 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| 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 |
|---|---|---|
| WILSON, GAIL | Agent | 7710 NW 71ST CT, Ste 301, TAMARAC, FL 33321-2973 |
| Name | Role | Address |
|---|---|---|
| WILSON, GAIL | Chief Executive Officer | 7710 NW 71ST CT, Ste 301 TAMARAC, FL 33321-2973 |
| Name | Role | Address |
|---|---|---|
| WILSON, GAIL | Manager | 7710 NW 71ST CT, Ste 301 TAMARAC, FL 33321-2973 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-21 | 7710 NW 71ST CT, Ste 301, TAMARAC, FL 33321-2973 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-29 | 7710 NW 71ST CT, Ste 301, TAMARAC, FL 33321-2973 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-29 | 7710 NW 71ST CT, Ste 301, TAMARAC, FL 33321-2973 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-21 |
| ANNUAL REPORT | 2023-01-29 |
| Florida Limited Liability | 2022-05-16 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
