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WILDERHEART THERAPY LLC

Company Details

Entity Name: WILDERHEART THERAPY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 08 Apr 2024 (10 months ago)
Document Number: L24000167240
Address: 7532 AZUREBROOK COURT, WINTER PARK, FL, 32792, US
Mail Address: 1317 EDGEWATER DRIVE, #4474, ORLANDO, FL, 32804, US
ZIP code: 32792
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124856869 2024-07-24 2024-07-24 7532 AZUREBROOK CT, WINTER PARK, FL, 327928702, US 7532 AZUREBROOK CT, WINTER PARK, FL, 327928702, US

Contacts

Phone +1 407-717-8245

Authorized person

Name STEPHANIE WERNBERG
Role OWNER/THERAPIST
Phone 4077178245

Taxonomy

Taxonomy Code 101Y00000X - Counselor
Is Primary Yes

Agent

Name Role
ZENBUSINESS INC. Agent

Authorized Member

Name Role Address
WERNBERG STEPHANIE Authorized Member 7532 AZUREBROOK COURT, WINTER PARK, FL, 32792

Documents

Name Date
Florida Limited Liability 2024-04-08

Date of last update: 01 Feb 2025

Sources: Florida Department of State