| Entity Name: | WHITAKER WELLNESS SPA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Oct 2022 (2 years ago) |
| Document Number: | L22000431501 |
| FEI/EIN Number | 92-0617190 |
| Address: | 2141 Loch Rane Blvd, Orange Park, FL, 32073, US |
| Mail Address: | 2141 Loch Rane Blvd, Orange Park, FL, 32073, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528757176 | 2023-05-01 | 2023-05-01 | 8624 RIBBON FALLS LN, JACKSONVILLE, FL, 322444990, US | 8624 RIBBON FALLS LN, JACKSONVILLE, FL, 322444990, US | |||||||||||||||||||||
|
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| Phone | +1 904-576-6868 |
Authorized person
| Name | SHANTELL WHITAKER |
| Role | OWNER/EMPLOYEE |
| Phone | 9045766868 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 101YP1600X - Pastoral Counselor |
| Is Primary | No |
| Taxonomy Code | 101YS0200X - School Counselor |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| WHITAKER SHANTELL | Agent | 8624 RIBBON FALLS LN, JACKSONVILLE, FL, 32244 |
| Name | Role | Address |
|---|---|---|
| WHITAKER SHANTELL | Manager | 8624 RIBBON FALLS LN, JACKSONVILLE, FL, 32244 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-08 | 2141 Loch Rane Blvd, Suite 106, Orange Park, FL 32073 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-08 | 2141 Loch Rane Blvd, Suite 106, Orange Park, FL 32073 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| Florida Limited Liability | 2022-10-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
