| Entity Name: | LIVINGWELL THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Dec 2022 (2 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 13 Jan 2023 (2 years ago) |
| Document Number: | L22000510015 |
| FEI/EIN Number | 92-1354242 |
| Address: | 212 N Marion Avenue, Suite 222, LAKE CITY, FL, 32055, US |
| Mail Address: | 1162 NW OLD MILL DRIVE, LAKE CITY, FL, 32055, UN |
| ZIP code: | 32055 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982317236 | 2023-01-02 | 2023-01-02 | 1162 NW OLD MILL DR, LAKE CITY, FL, 320556005, US | 321 SW MAIN BLVD, LAKE CITY, FL, 320257053, US | |||||||||||||||||||||||||
|
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| Phone | +1 386-590-7662 |
Authorized person
| Name | MRS. NATALIE MOORE |
| Role | OWNER |
| Phone | 3865907662 |
Taxonomy
| Taxonomy Code | 101Y00000X - Counselor |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 101YP1600X - Pastoral Counselor |
| Is Primary | No |
| Taxonomy Code | 101YP2500X - Professional Counselor |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MOORE NATALIE | Agent | 1162 NW OLD MILL DRIVE, LAKE CITY, FL, 32055 |
| Name | Role | Address |
|---|---|---|
| MOORE RANDALL P | Chief Financial Officer | 1162 NW OLD MILL DRIVE, LAKE CITY, FL, 32055 |
| Name | Role | Address |
|---|---|---|
| MOORE NATALIE | Authorized Member | 1162 NW OLD MILL DR., LAKE CITY, FL, 32055 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-29 | 212 N Marion Avenue, Suite 222, LAKE CITY, FL 32055 | No data |
| LC AMENDMENT | 2023-01-13 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| LC Amendment | 2023-01-13 |
| Florida Limited Liability | 2022-12-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
