| Entity Name: | LAKE WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 30 Nov 2022 (2 years ago) |
| Document Number: | L22000504474 |
| FEI/EIN Number | 92-1229900 |
| Address: | 590 SOLUTIONS WAY, SUITE 120, ROCKLEDGE, FL 32955 |
| Mail Address: | 590 SOLUTIONS WAY, SUITE 120, ROCKLEDGE, FL 32955 |
| ZIP code: | 32955 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528896958 | 2024-07-25 | 2024-08-05 | 590 SOLUTIONS WAY STE 120, ROCKLEDGE, FL, 329553623, US | 590 SOLUTIONS WAY STE 120, ROCKLEDGE, FL, 329553623, US | |||||||||||||
|
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| Phone | +1 321-626-4513 |
Authorized person
| Name | MR. MICHAEL H LAKE JR. |
| Role | PRESIDENT |
| Phone | 3216264513 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LAKE, MICHAEL H, JR | Agent | 590 SOLUTIONS WAY, SUITE 120, ROCKLEDGE, FL 32955 |
| Name | Role | Address |
|---|---|---|
| LAKE, MICHAEL H, JR | Manager | 590 SOLUTIONS WAY SUITE 120, ROCKLEDGE, FL 32955 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-14 |
| Florida Limited Liability | 2022-11-30 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
