Entity Name: | STRIVE MENTAL HEALTH LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 27 Jun 2022 (3 years ago) |
Document Number: | L22000288581 |
FEI/EIN Number | 88-2976655 |
Address: | 4529 WEST SANCTION RD, LECANTO, FL, 34461, US |
Mail Address: | 4529 WEST SANCTION RD, LECANTO, FL, 34461, US |
ZIP code: | 34461 |
County: | Citrus |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1639803760 | 2022-07-14 | 2023-06-22 | 4529 W SANCTION RD, LECANTO, FL, 344617623, US | 2440 N ESSEX AVE, CITRUS HILLS, FL, 344425320, US | |||||||||||||||
|
Phone | +1 352-558-8054 |
Fax | 3522188485 |
Authorized person
Name | THOMAS BUSTETTER |
Role | OFFICE MANAGER |
Phone | 3522079681 |
Taxonomy
Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
DOANE-BUSTETTER DIANNE | Agent | 4529 WEST SANCTION RD, LECANTO, FL, 34461 |
Name | Role | Address |
---|---|---|
DOANE-BUSTETTER DIANNE | Manager | 4529 WEST SANCTION RD, LECANTO, FL, 34461 |
BUSTETTER THOMAS | Manager | 4529 WEST SANCTION RD, LECANTO, FL, 34461 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2023-03-27 | 4529 WEST SANCTION RD, LECANTO, FL 34461 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-01 |
ANNUAL REPORT | 2023-03-27 |
Florida Limited Liability | 2022-06-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State