| Entity Name: | WILDER WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Dec 2023 (a year ago) |
| Document Number: | L23000543567 |
| FEI/EIN Number | 93-4667352 |
| Address: | 1114 THOMASVILLE RD SUITE W, TALLAHASSEE, FL 32303 |
| Mail Address: | 1114 THOMASVILLE RD SUITE W, TALLAHASSEE, FL 32303 |
| ZIP code: | 32303 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861243065 | 2024-03-27 | 2024-11-10 | 1114 THOMASVILLE RD STE W, TALLAHASSEE, FL, 323036273, US | 1114 THOMASVILLE RD STE W, TALLAHASSEE, FL, 323036273, US | |||||||||||||||
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| Phone | +1 850-273-0199 |
| Fax | 8507922491 |
Authorized person
| Name | MISS KIMBERLY DIANE WILDER |
| Role | FOUNDER |
| Phone | 8502730199 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CHRISTIAN, KIMBERLY D | Agent | 2344 HANSEN LANE, UNIT 1, TALLAHASSEE, FL 32301 |
| Name | Role | Address |
|---|---|---|
| CHRISTIAN, KIMBERLY D | Manager | 1114 THOMASVILLE RD SUITE W, TALLAHASSEE, FL 32303 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-10 | 1114 THOMASVILLE RD SUITE W, TALLAHASSEE, FL 32303 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-10 | 1114 THOMASVILLE RD SUITE W, TALLAHASSEE, FL 32303 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2023-12-07 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
