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HER TABLE COLLECTIVE, THERAPY & WELLNESS, LLC - Florida Company Profile

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Company Details

Entity Name: HER TABLE COLLECTIVE, THERAPY & WELLNESS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 14 Feb 2025 (6 months ago)
Document Number: L25000078718
Address: 7314 MARY JO AVE, SOUTHPORT, FL, 32409, UN
Mail Address: 7314 MARY JO AVE, SOUTHPORT, FL, 32409, UN
ZIP code: 32409
City: Panama City
County: Bay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CHANCEY HOLLY Agent 7314 MARY JO AVE, SOUTHPORT, FL, 32409
CHANCEY HOLLY Manager 7314 MARY JO AVE, SOUTHPORT, FL, 32409

National Provider Identifier

NPI Number:
1689471013
Certification Date:
2025-02-25

Authorized Person:

Name:
HOLLY CHANCEY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

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Date of last update: 03 Aug 2025

Sources: Florida Department of State