| Entity Name: | LIFE THRIVE SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Mar 2024 (10 months ago) |
| Document Number: | L24000120588 |
| Address: | 4648 SE SALVATORI RD, STUART, FL 34997 |
| Mail Address: | 4648 SE SALVATORI RD, STUART, FL 34997 |
| ZIP code: | 34997 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1013776707 | 2024-03-15 | 2024-11-06 | 4648 SE SALVATORI RD, STUART, FL, 349978271, US | 907 SE CENTRAL PKWY, STUART, FL, 349943904, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-210-4362 |
Authorized person
| Name | MRS. JANIE MADONNA DEBLAUWE |
| Role | DIRECTOR OWNER |
| Phone | 9415265133 |
Taxonomy
| Taxonomy Code | 101Y00000X - Counselor |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 101YP2500X - Professional Counselor |
| Is Primary | No |
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | No |
| Taxonomy Code | 106S00000X - Behavior Technician |
| Is Primary | No |
| Taxonomy Code | 163WG0000X - General Practice Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 163WI0500X - Infusion Therapy Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 171400000X - Health & Wellness Coach |
| Is Primary | No |
| Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
| Is Primary | No |
| Taxonomy Code | 174H00000X - Health Educator |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| DEBLAUWE, J. MADONNA | Agent | 4648 SE SALVATORI RD, STUART, FL 34997 |
| Name | Role | Address |
|---|---|---|
| DEBLAUWE, J. MADONNA | Manager | 4648 SE SALVATORI RD, STUART, FL 34997 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-03-11 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
