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CONVEY THERAPY INC - Florida Company Profile

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Company Details

Entity Name: CONVEY THERAPY INC
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 01 Dec 2023 (2 years ago)
Document Number: N23000014459
FEI/EIN Number 993554899
Address: 8807 TOTTENHAM WY, KISSIMMEE, FL, 34747, US
Mail Address: 8807 TOTTENHAM WY, KISSIMMEE, FL, 34747, US
ZIP code: 34747
City: Kissimmee
County: Osceola
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
COLLINS EL DERRICK T President 19 STARLING DR., DAYTONA BEACH, FL, 32117
HERNANDEZ JANE S Agent 8807 TOTTENHAM WY, KISSIMMEE, FL, 34747
HERNANDEZ JANE S Chief Executive Officer 8807 TOTTENHAM WY, KISSIMMEE, FL, 34747
HERNANDEZ JAMES A Vice President 8807 TOTTENHAM WY, KISSIMMEE, FL, 34747

National Provider Identifier

NPI Number:
1093609976
Certification Date:
2025-05-21

Authorized Person:

Name:
JANE S HERNANDEZ
Role:
MENTAL HEALTH THERAPIST
Phone:

Taxonomy:

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

Contacts:

Fax:
3214498777

Events

Event Type Filed Date Value Description
AMENDMENT 2025-03-27 - -
CHANGE OF PRINCIPAL ADDRESS 2024-06-27 8807 Tottenham Way, Kissimmee, FL 34747 -
CHANGE OF MAILING ADDRESS 2024-06-27 8807 Tottenham Way, Kissimmee, FL 34747 -

Documents

Name Date
ANNUAL REPORT 2024-04-10
Domestic Non-Profit 2023-12-01

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Date of last update: 03 Aug 2025

Sources: Florida Department of State