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HIS STEPS THERAPEUTIC SERVICES LLC

Company Details

Entity Name: HIS STEPS THERAPEUTIC SERVICES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 28 Jun 2023 (2 years ago)
Document Number: L23000309595
FEI/EIN Number 93-1811012
Address: 1319 SEAVIEW, NORTH LAUDERDALE, FL 33068
Mail Address: 1319 SEAVIEW, NORTH LAUDERDALE, FL 33068 UN
ZIP code: 33068
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336913250 2023-11-10 2023-11-10 1319 SEAVIEW, NORTH LAUDERDALE, FL, 330683909, US 1319 SEAVIEW, NORTH LAUDERDALE, FL, 330683909, US

Contacts

Phone +1 954-780-6236
Phone +1 954-857-9163

Authorized person

Name SHANIQUE PHILLIPS
Role CEO
Phone 9547806236

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary No
Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role Address
PHILLIPS, SHANIQUE A Agent 1319 SEAVIEW, NORTH LAUDERDALE, FL 33068

Chief Executive Officer

Name Role Address
PHILLIPS, SHANIQUE A Chief Executive Officer 1319 SEAVIEW, NORTH LAUDERDALE, FL 33068

Documents

Name Date
ANNUAL REPORT 2024-04-08
Florida Limited Liability 2023-06-28

Date of last update: 09 Feb 2025

Sources: Florida Department of State