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ENRICHED LIFE THERAPY LLC

Company Details

Entity Name: ENRICHED LIFE THERAPY LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Company
Status: Active
Date Filed: 26 Feb 2024 (a year ago)
Document Number: M24000003320
FEI/EIN Number 84-3930288
Address: 617 NW 36 PL, CAPE CORAL, FL 33993
Mail Address: 617 NW 36 PL, CAPE CORAL, FL 33993
ZIP code: 33993
County: Lee
Place of Formation: NEW JERSEY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1871132381 2019-12-31 2023-12-20 617 NW 36TH PL, CAPE CORAL, FL, 339935568, US 617 NW 36TH PL, CAPE CORAL, FL, 339935568, US

Contacts

Phone +1 848-219-0869

Authorized person

Name LIZHEN YAN
Role OWNER
Phone 8482190869

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role Address
YAN, LIZHEN Agent 617 NW 36 PL, CAPE CORAL, FL 33993

Manager

Name Role Address
YAN, LIZHEN Manager 617 NW 36 PL, CAPE CORAL, FL 33993

Documents

Name Date
Foreign Limited 2024-02-26

Date of last update: 08 Feb 2025

Sources: Florida Department of State