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SERENITY SPACE THERAPY AND SUPERVISION - Florida Company Profile

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Company Details

Entity Name: SERENITY SPACE THERAPY AND SUPERVISION
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 29 Oct 2024 (10 months ago)
Document Number: L24000460126
FEI/EIN Number 331655475
Address: 1100 WATSON AVE, PENSACOLA, FL, 32503, US
Mail Address: 1100 WATSON AVE, PENSACOLA, FL, 32503, US
ZIP code: 32503
City: Pensacola
County: Escambia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
WARD ERICA N Manager 1100 WATSON AVE, PENSACOLA, FL, 32503
WARD ERICA N Agent 1100 WATSON AVE, PENSACOLA, FL, 32503

National Provider Identifier

NPI Number:
1992527097
Certification Date:
2024-10-29

Authorized Person:

Name:
MISS ERICA NICOLE WARD
Role:
OWNER/ THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Documents

Name Date
Florida Limited Liability 2024-10-29

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Date of last update: 02 Aug 2025

Sources: Florida Department of State