Search icon

PURPOSEFUL CHANGE, LLC

Company Details

Entity Name: PURPOSEFUL CHANGE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 13 Sep 2023 (a year ago)
Document Number: L23000427266
FEI/EIN Number 93-3512499
Address: 6707 PLANTATION ROAD, SUITE B3, PENSACOLA, FL 32504
Mail Address: 3457 MARCUS POINTE BLVD, PENSACOLA, FL 32505
ZIP code: 32504
County: Escambia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1245019066 2023-09-22 2023-10-23 3457 MARCUS POINTE BLVD, PENSACOLA, FL, 325051890, US 6707 PLANTATION RD STE B3, PENSACOLA, FL, 325046216, US

Contacts

Phone +1 850-324-9864
Phone +1 850-207-7085
Fax 8504653255

Authorized person

Name CARMELLA MILLER
Role OWNER
Phone 8503249864

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role Address
MILLER, CARMELLA, LCSW Agent 3457 MARCUS POINE BLVD, PENSACOLA, FL 32505

Authorized Representative

Name Role Address
MILLER, CARMELLA Authorized Representative 3457 MARCUS POINTE BLVD, PENSACOLA, FL 32505

Documents

Name Date
ANNUAL REPORT 2025-02-07
ANNUAL REPORT 2024-03-14
Florida Limited Liability 2023-09-13

Date of last update: 09 Feb 2025

Sources: Florida Department of State