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WILDERHEART THERAPY LLC - Florida Company Profile

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Company Details

Entity Name: WILDERHEART THERAPY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 08 Apr 2024 (a year ago)
Document Number: L24000167240
FEI/EIN Number 99-2488787
Mail Address: 1317 EDGEWATER DRIVE, #4474, ORLANDO, FL, 32804, US
Address: 1317 EDGEWATER DRIVE, Orlando, FL, 32804, US
ZIP code: 32804
City: Orlando
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
WERNBERG STEPHANIE Authorized Member 1317 EDGEWATER DRIVE, Orlando, FL, 32804
- Agent -

National Provider Identifier

NPI Number:
1124856869
Certification Date:
2024-07-24

Authorized Person:

Name:
STEPHANIE WERNBERG
Role:
OWNER/THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
101Y00000X - Counselor
Is Primary:
Yes

Contacts:

Documents

Name Date
Florida Limited Liability 2024-04-08

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Date of last update: 01 Aug 2025

Sources: Florida Department of State