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STRIVE MENTAL HEALTH LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
DOANE-BUSTETTER DIANNE Agent 4529 WEST SANCTION RD, LECANTO, FL, 34461

Manager

Name Role Address
DOANE-BUSTETTER DIANNE Manager 4529 WEST SANCTION RD, LECANTO, FL, 34461
BUSTETTER THOMAS Manager 4529 WEST SANCTION RD, LECANTO, FL, 34461

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-03-27 4529 WEST SANCTION RD, LECANTO, FL 34461 No data

Documents

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