Entity Name: | 850 THERAPY, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 01 Dec 2023 (a year ago) |
Document Number: | L23000529485 |
FEI/EIN Number | 93-4656427 |
Address: | 124 JOHN KING RD, CRESTVIEW, FL, 32539, US |
Mail Address: | 124 JOHN KING RD, CRESTVIEW, FL, 32539, US |
ZIP code: | 32539 |
County: | Okaloosa |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1013783711 | 2023-12-04 | 2023-12-04 | 124 JOHN KING RD, CRESTVIEW, FL, 325398306, US | 124 JOHN KING RD, CRESTVIEW, FL, 325398306, US | |||||||||||||||||||||
|
Phone | +1 850-634-6020 |
Authorized person
Name | GABRIELLE BROOKS-GRIFFITH |
Role | PRESIDENT |
Phone | 8506346020 |
Taxonomy
Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
Is Primary | Yes |
Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
Is Primary | No |
Taxonomy Code | 261QX0100X - Occupational Medicine Clinic/Center |
Is Primary | No |
Name | Role | Address |
---|---|---|
BROOKS-GRIFFITH GABRIELLE | Agent | 1714 SHOCKLEY SPRINGS RD, BAKER, FL, 32531 |
Name | Role | Address |
---|---|---|
BROOKS-GRIFFITH GABRIELLE | President | 1714 SHOCKLEY SPRINGS RD, BAKER, FL, 32531 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2024-04-15 | BROOKS-GRIFFITH, GABRIELLE | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-15 |
Florida Limited Liability | 2023-12-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State