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THE EDGE OF GREATNESS PSYCHOTHERAPY, PLLC - Florida Company Profile

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Company Details

Entity Name: THE EDGE OF GREATNESS PSYCHOTHERAPY, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 21 Mar 2025 (5 months ago)
Document Number: L25000139303
Address: 19143 LAKE AUDUBON DRIVE, TAMPA, FL, 33647, US
Mail Address: 19143 LAKE AUDUBON DRIVE, TAMPA, FL, 33647, US
ZIP code: 33647
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FORERO JESSICA Agent 19143 LAKE AUDUBON DRIVE, TAMPA, FL, 33647
FORERO JESSICA Manager 19143 LAKE AUDUBON DRIVE, TAMPA, FL, 33647

National Provider Identifier

NPI Number:
1053100339
Certification Date:
2025-05-03

Authorized Person:

Name:
MS. JESSICA FORERO
Role:
PSYCHOTHERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

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Date of last update: 02 Aug 2025

Sources: Florida Department of State