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VIBEWELL THERAPY LLC - Florida Company Profile

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Company Details

Entity Name: VIBEWELL THERAPY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 Jun 2023 (2 years ago)
Document Number: L23000304330
FEI/EIN Number 93-2063978
Address: 126 Highland st, Cocoa, FL, 32922, US
Mail Address: 126 Highland st, Cocoa, FL, 32922, US
ZIP code: 32922
City: Cocoa
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CHAFFARDET MICHELLE MMS Authorized Member 126 Highland st, Cocoa, FL, 32922
CHAFFARDET MICHELLE MMS. Agent 126 highland st, cocoa, FL, 32922

National Provider Identifier

NPI Number:
1043085103
Certification Date:
2025-04-11

Authorized Person:

Name:
MICHELLE CHAFFARDET
Role:
SOLE MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-08-01 126 Highland st, Cocoa, FL 32922 -
CHANGE OF MAILING ADDRESS 2024-08-01 126 Highland st, Cocoa, FL 32922 -

Documents

Name Date
ANNUAL REPORT 2024-01-23
Florida Limited Liability 2023-06-26

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Date of last update: 01 Aug 2025

Sources: Florida Department of State