| Entity Name: | EMPOWERING 4 PURPOSE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Jul 2022 (3 years ago) |
| Document Number: | L22000356377 |
| FEI/EIN Number | 92-0724856 |
| Address: | 16690 NW 192ND TERR, HIGH SPRINGS, FL, 32643, US |
| Mail Address: | 16690 NW 192ND TERR, HIGH SPRINGS, FL, 32643, US |
| ZIP code: | 32643 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285341297 | 2022-10-31 | 2024-05-01 | 16690 NW 192ND TER, HIGH SPRINGS, FL, 326430647, US | 111 SE 1ST AVE STE 160, GAINESVILLE, FL, 326019914, US | |||||||||||||||||||
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| Phone | +1 352-284-0577 |
Authorized person
| Name | LAKESHA LINGARD |
| Role | LICENSED THERAPIST |
| Phone | 3522840577 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FL BLUE |
| Number | 1801563648 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BOWIE LAKESHA | Agent | 16690 NW 192ND TERR, HIGH SPRINGS, FL, 32643 |
| Name | Role | Address |
|---|---|---|
| BOWIE LAKESHA | Authorized Member | 16690 NW 192ND TERR, HIGH SPRINGS, FL, 32643 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-12 |
| ANNUAL REPORT | 2023-04-04 |
| Florida Limited Liability | 2022-07-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
