| Entity Name: | TALKATIVE TALLAHASSEE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 30 Jun 2022 (3 years ago) |
| Document Number: | L22000294947 |
| FEI/EIN Number | 88-3069932 |
| Address: | 2712 VIA MILANO AVE, B, TALLAHASSEE, FL 32303 |
| Mail Address: | 2712 VIA MILANO AVE, B, TALLAHASSEE, FL 32303 |
| ZIP code: | 32303 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568178002 | 2023-01-27 | 2023-01-27 | 2712 VIA MILANO AVE # B, TALLAHASSEE, FL, 323033289, US | 2712 VIA MILANO AVE # B, TALLAHASSEE, FL, 323033289, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 386-688-3480 |
Authorized person
| Name | MS. AMY WILLIAMS |
| Role | SPEECH-LANGUAGE PATHOLOGIST |
| Phone | 3866883480 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 021814800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WILLIAMS, AMY M | Agent | 2712 VIA MILANO AVE, B, TALLAHASSEE, FL 32303 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS, AMY M | Manager | 2712 VIA MILANO AVE B, TALLAHASSEE, FL 32303 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-03 |
| ANNUAL REPORT | 2023-02-07 |
| Florida Limited Liability | 2022-06-30 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
