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MIAMI THERAPY GROUP, LLC

Company Details

Entity Name: MIAMI THERAPY GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 15 Sep 2023 (a year ago)
Document Number: L23000431498
FEI/EIN Number 93-3459028
Address: 5111 NW 2ND TERRACE, MIAMI, FL, 33126
Mail Address: 5111 NW 2ND TERRACE, MIAMI, FL, 33126
ZIP code: 33126
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720823545 2024-06-25 2024-09-17 5111 NW 2ND TER, MIAMI, FL, 331265007, US 5111 NW 2ND TER, MIAMI, FL, 331265007, US

Contacts

Phone +1 786-574-0496

Authorized person

Name YESENIA DENIS
Role SPEECH-LANGUAGE PATHOLOGIST
Phone 7865740496

Taxonomy

Taxonomy Code 235Z00000X - Speech-Language Pathologist
Is Primary Yes
Taxonomy Code 261QH0700X - Hearing and Speech Clinic/Center
Is Primary No

Agent

Name Role Address
DENIS YESENIA K Agent 5111 NW 2ND TERRACE, MIAMI, FL, 33126

Owne

Name Role Address
Denis Yesenia K Owne 5111 NW 2nd Terrace, Miami, FL, 33126

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000115022 AMAZING MINDS THERAPY ACTIVE 2023-09-18 2028-12-31 No data 5111 NW 2ND TERRACE, MIAMI, FL, 33126

Documents

Name Date
ANNUAL REPORT 2024-02-07
Florida Limited Liability 2023-09-15

Date of last update: 02 Feb 2025

Sources: Florida Department of State