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PLUM THERAPY AND WELLNESS LLC

Company Details

Entity Name: PLUM THERAPY AND WELLNESS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 29 Mar 2023 (2 years ago)
Document Number: L23000157735
FEI/EIN Number 92-3366495
Address: 2720 NW 6TH STREET, GAINESVILLE, FL, 32609
Mail Address: 2508 SW 35TH PLACE, UNIT O-86, GAINESVILLE, FL, 32608
ZIP code: 32609
County: Alachua
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568159739 2023-04-19 2023-04-19 2508 SW 35TH PL UNIT O-86, GAINESVILLE, FL, 326083252, US 2720 NW 6TH ST STE 301C, GAINESVILLE, FL, 326092998, US

Contacts

Phone +1 352-649-3876

Authorized person

Name SASHA NICOLE LARSON
Role OWNER
Phone 3526493876

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role Address
LARSON SASHA N Agent 2508 SW 35TH PLACE, GAINESVILLE, FL, 32608

Authorized Member

Name Role Address
LARSON SASHA N Authorized Member 2508 SW 35TH PLACE UNIT O-86, GAINESVILLE, FL, 32608

Documents

Name Date
ANNUAL REPORT 2024-02-09
Florida Limited Liability 2023-03-29

Date of last update: 02 Feb 2025

Sources: Florida Department of State