| Entity Name: | MY THERAPY SPOT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 17 Aug 2022 (2 years ago) |
| Date of dissolution: | 05 Mar 2024 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 05 Mar 2024 (a year ago) |
| Document Number: | L22000362363 |
| FEI/EIN Number | 88-3809574 |
| Address: | 18822 NW 80TH CT, HIALEAH, FL, 33015, US |
| Mail Address: | 7215 NW 173RD DR, 1006, HIALEAH, FL, 33015, US |
| ZIP code: | 33015 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013635358 | 2022-08-22 | 2022-08-22 | 18822 NW 80TH CT, HIALEAH, FL, 330155228, US | 18822 NW 80TH CT, HIALEAH, FL, 330155228, US | |||||||||||||||||||||||
|
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| Phone | +1 305-440-0785 |
Authorized person
| Name | JENNIFER TRAVIESO |
| Role | SPEECH LANGUAGE PATHOLOGIST |
| Phone | 3054400785 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | Yes |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 101010300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TRAVIESO JENNIFER | Agent | 18822 NW 80TH CT, HIALEAH, FL, 33015 |
| Name | Role | Address |
|---|---|---|
| PONCE JESSICA | Authorized Member | 6195 SW 160TH TERRACE, DAVIE, FL, 33331 |
| TRAVIESO JENNIFER | Authorized Member | 18822 NW 80TH CT, HIALEAH, FL, 33015 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-03-05 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-03-05 |
| ANNUAL REPORT | 2023-01-25 |
| Florida Limited Liability | 2022-08-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
