| Entity Name: | ASCEND MIND AND BODY THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 Apr 2024 (10 months ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 17 Dec 2024 (2 months ago) |
| Document Number: | L24000187594 |
| FEI/EIN Number | 99-2793671 |
| Address: | 832 South Florida Avenue Suite 1, 2nd Floor, LAKELAND, FL 33801 |
| Mail Address: | 832 South Florida Avenue Suite 1, 2nd Floor, LAKELAND, FL 33801 |
| ZIP code: | 33801 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760239016 | 2024-05-03 | 2024-05-03 | 832 SOUTH FLORIDA AVENUE, 2ND FLOOR, LAKELAND, FL, 33801, US | 832 SOUTH FLORIDA AVENUE, 2ND FLOOR, LAKELAND, FL, 33801, US | |||||||||||||||||||||
|
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| Phone | +1 863-510-2624 |
Authorized person
| Name | DAVID BRUCE WEBER |
| Role | CEO |
| Phone | 8635102624 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| WEBER, DAVID BRUCE | Agent | 832 SOUTH FLORIDA AVENUE, SUITE 2, LAKELAND, FL 33801 |
| Name | Role | Address |
|---|---|---|
| BODY INSTITUTE, LLC | Manager | 832 SOUTH FLORIDA AVENUE SUITE 1, 2ND FLOOR, LAKELAND, FL 33801 |
| MIND, CASSIDY | Manager | 832 SOUTH FLORIDA AVENUE SUITE 1, 2ND FLOOR, LAKELAND, FL 33801 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT AND NAME CHANGE | 2024-12-17 | ASCEND MIND AND BODY THERAPY, LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-06 | 832 South Florida Avenue Suite 1, 2nd Floor, LAKELAND, FL 33801 | No data |
| CHANGE OF MAILING ADDRESS | 2024-08-06 | 832 South Florida Avenue Suite 1, 2nd Floor, LAKELAND, FL 33801 | No data |
| Name | Date |
|---|---|
| LC Amendment and Name Change | 2024-12-17 |
| Florida Limited Liability | 2024-04-25 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
