Entity Name: | ALEVA THERAPY, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 23 Oct 2024 (3 months ago) |
Document Number: | L24000450707 |
Address: | 1101 GULF BREEZE PKWY, GULF BREEZE, FL 32561 |
Mail Address: | 7374 COPTER LANE, MILTON, FL 32570 |
ZIP code: | 32561 |
County: | Santa Rosa |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1487476917 | 2024-10-28 | 2024-10-28 | 7374 COPTER LN, MILTON, FL, 325706211, US | 7374 COPTER LN, MILTON, FL, 325706211, US | |||||||||||||
|
Phone | +1 484-464-3156 |
Authorized person
Name | MELANIE S BALLIET |
Role | CEO |
Phone | 4844643156 |
Taxonomy
Taxonomy Code | 225X00000X - Occupational Therapist |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BALLIET, MELANIE | Agent | 7374 COPTER LANE, MILTON, FL 32570 |
Name | Role | Address |
---|---|---|
BALLIET, MELANIE S | Chief Executive Officer | 7374 COPTER LANE, MILTON, FL 32570 |
Name | Role | Address |
---|---|---|
BALLIET, PHILIP A, II | Manager | 7374 COPTER LANE, MILTON, FL 32570 |
Name | Date |
---|---|
Florida Limited Liability | 2024-10-23 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State