| Entity Name: | JEANIS HOLISTIC PSYCHOTHERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 25 Jan 2023 (2 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | L23000047023 |
| Mail Address: | 13173 SW 44TH STREET, MIRAMAR, FL 33027 |
| Address: | 331 NW 78TH TERRACE, 104, PEMBROKE PINES, FL 33024 |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629774542 | 2023-02-02 | 2023-02-02 | 13173 SW 44TH ST, MIRAMAR, FL, 330273114, US | 331 NW 78TH TER APT 104, PEMBROKE PINES, FL, 330241219, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 954-546-1093 |
| Fax | 9548270863 |
Authorized person
| Name | LAURA ARMIDE JEANIS |
| Role | CEO & CLINICAL THERAPIST |
| Phone | 7542808805 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LCSW LICENSE |
| Number | SW20897 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JEANIS, LAURA A, CEO | Agent | 331 NW 78TH TERR, APT 104, PEMBROKE PINES, FL 33024 |
| Name | Role | Address |
|---|---|---|
| JEANIS, LAURA A | Chief Executive Officer | 331 NW 78TH TERRACE, APT 104, PEMBROKE PINES, FL 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2023-01-25 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
