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INFLUENTIAL THERAPY, LLC

Company Details

Entity Name: INFLUENTIAL THERAPY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 22 Jun 2023 (2 years ago)
Document Number: L23000301422
FEI/EIN Number 93-2084466
Address: 5411 STARTFISH ROAD, WESTLAKE, FL 33470
Mail Address: 5411 STARTFISH ROAD, WESTLAKE, FL 33470
ZIP code: 33470
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508636077 2024-01-05 2024-01-05 5411 STARFISH RD, WESTLAKE, FL, 334707031, US 5411 STARFISH RD, WESTLAKE, FL, 334707031, US

Contacts

Phone +1 561-914-4005

Authorized person

Name DIANA CARDONA
Role OWNER
Phone 5619144005

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role Address
CARDONA, DIANA Agent 5411 STARFISH RD, WESTLAKE, FL 33470

Manager

Name Role Address
CARDONA, DIANA Manager 5411 STARFISH RD, WESTLAKE, FL 33470

Documents

Name Date
ANNUAL REPORT 2024-03-12
Florida Limited Liability 2023-06-22

Date of last update: 09 Jan 2025

Sources: Florida Department of State