| Entity Name: | JACKSONVILLE CREATIVE THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Jun 2024 (8 months ago) |
| Document Number: | L24000267004 |
| Address: | 3995 HUNT CLUB RD, JACKSONVILLE, FL, 32224, US |
| Mail Address: | 3995 HUNT CLUB RD, JACKSONVILLE, FL, 32224, US |
| ZIP code: | 32224 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861234668 | 2024-06-11 | 2024-06-11 | 3995 HUNT CLUB RD, JACKSONVILLE, FL, 322248416, US | 3995 HUNT CLUB RD, JACKSONVILLE, FL, 322248416, US | |||||||||||||
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| Phone | +1 904-537-0536 |
Authorized person
| Name | MRS. EMILY YI |
| Role | CLINICIAN |
| Phone | 9044344233 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| YI EMILY | Agent | 3995 HUNT CLUB RD, JACKSONVILLE, FL, 32224 |
| Name | Role | Address |
|---|---|---|
| YI EMILY | Authorized Member | 3995 HUNT CLUB RD, JACKSONVILLE, FL, 32224 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-06-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
