| Entity Name: | REAL THERAPY SOLUTIONS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 30 Sep 2016 (8 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | P16000080232 |
| FEI/EIN Number | 81-4063800 |
| Address: | 4055 Tamiami Trail, PORT CHARLOTTE, FL, 33952, US |
| Mail Address: | 4055 Tamiami Trail, PORT CHARLOTTE, FL, 33952, US |
| ZIP code: | 33952 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184174286 | 2016-10-12 | 2017-10-06 | 3028 CARING WAY, UNIT 1, PORT CHARLOTTE, FL, 33952, US | 3028 CARING WAY, UNIT 1, PORT CHARLOTTE, FL, 33952, US | |||||||||||||||||||||||||
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| Phone | +1 941-276-7889 |
| Fax | 9412495039 |
Authorized person
| Name | MR. RANDALL CROUCH |
| Role | CEO |
| Phone | 9412767889 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH10076 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004032500 |
| State | FL |
| Name | Role |
|---|---|
| REAL THERAPY SOLUTIONS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| CROUCH RANDALL MR | President | 1009 SW CR 661, Arcadia, FL, 34266 |
| Name | Role | Address |
|---|---|---|
| CROUCH RANDALL MR | Director | 1009 SW CR 661, Arcadia, FL, 34266 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-21 | 4055 Tamiami Trail, PORT CHARLOTTE, FL 33952 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-21 | 4055 Tamiami Trail, PORT CHARLOTTE, FL 33952 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-21 | 4055 Tamiami Trail, PORT CHARLOTTE, FL 33952 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-10-16 | REAL THERAPY SOLUTIONS, INC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-03-04 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-01-21 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-02-13 |
| Reg. Agent Change | 2018-10-16 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-02-10 |
| Domestic Profit | 2016-09-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
