| Entity Name: | HEALING SPACE THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Feb 2023 (2 years ago) |
| Document Number: | L23000079066 |
| FEI/EIN Number | 92-2445830 |
| Address: | 601 SW STUART WEST BLVD, PALM CITY, FL 34990 |
| Mail Address: | 601 SW STUART WEST BLVD, PALM CITY, FL 34990 |
| ZIP code: | 34990 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245938117 | 2023-02-21 | 2023-02-21 | 601 SW STUART WEST BLVD, PALM CITY, FL, 349906240, US | 15200 S JOG RD STE 303, DELRAY BEACH, FL, 334461249, US | |||||||||||||||
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| Phone | +1 478-508-0915 |
| Phone | +1 561-501-1054 |
Authorized person
| Name | EMILY KONICKI |
| Role | OWNER |
| Phone | 4785080915 |
Taxonomy
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KONICKI, EMILY | Agent | 601 SW STUART WEST BLVD, PALM CITY, FL 34990 |
| Name | Role | Address |
|---|---|---|
| KONICKI, EMILY K | Manager | 601 SW STUART WEST BLVD, PALM CITY, FL 34990 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-04 |
| ANNUAL REPORT | 2024-01-18 |
| Florida Limited Liability | 2023-02-13 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
