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BREAK FREE THERAPY GROUP LLC

Company Details

Entity Name: BREAK FREE THERAPY GROUP LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 29 Jan 2024 (a year ago)
Document Number: L24000053194
Address: 1766 SEA LARK DR E5, NAVARRE, FL 32566
Mail Address: 1991 COMMODORE DR, NAVARRE, FL 32566
ZIP code: 32566
County: Santa Rosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1497588750 2024-08-22 2024-08-22 1991 COMMODORE DR, NAVARRE, FL, 325667651, US 1766 SEA LARK LN # E5, NAVARRE, FL, 325668190, US

Contacts

Phone +1 850-206-5367
Fax 8509610054

Authorized person

Name JOANNE E JACOBS
Role CEO/THERAPIST
Phone 8502065367

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role Address
JACOBS, JOANNE E Agent 1991 COMMODORE DR, NAVARRE, FL 32566

Manager

Name Role Address
JACOBS, JOANNE E Manager 1766 SEA LARK DRIVE E5, NAVARRE, FL 32566

Documents

Name Date
Florida Limited Liability 2024-01-29

Date of last update: 09 Feb 2025

Sources: Florida Department of State