| Entity Name: | KRUEGER WELLNESS INSTITUTE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 05 Apr 2019 (6 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 05 Oct 2022 (2 years ago) |
| Document Number: | P19000031181 |
| FEI/EIN Number | N/A |
| Address: | 4566 E HWY 20 SUITE 104, NICEVILLE, FL 32578 |
| Mail Address: | 4566 E Hwy 20, Suite 104, NICEVILLE, FL 32578 |
| ZIP code: | 32578 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518526144 | 2019-06-07 | 2020-05-20 | 4400 E HIGHWAY 20 STE 306, NICEVILLE, FL, 325787703, US | 4566 E HIGHWAY 20 STE 104, NICEVILLE, FL, 325788839, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 619-865-9399 |
| Fax | 8508970032 |
| Phone | +1 850-842-2424 |
| Fax | 8508423094 |
Authorized person
| Name | DR. TONICE KRUEGER |
| Role | LICENSED PSYCHOLOGIST / DIRECTOR |
| Phone | 8508422424 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Taxonomy Code | 103TP2701X - Group Psychotherapy Psychologist |
| Is Primary | No |
| Taxonomy Code | 133V00000X - Registered Dietitian |
| Is Primary | No |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | No |
| Name | Role |
|---|---|
| LEGALINC CORPORATE SERVICES INC. | Agent |
| Name | Role | Address |
|---|---|---|
| KRUEGER, TONICE | Director | 4566 E Hwy 20, 104 NICEVILLE, FL 32578 |
| Name | Role | Address |
|---|---|---|
| KRUEGER, TONICE | President | 4566 E Hwy 20, 104 NICEVILLE, FL 32578 |
| Name | Role | Address |
|---|---|---|
| KRUEGER, TONICE | Treasurer | 4566 E Hwy 20, 104 NICEVILLE, FL 32578 |
| Name | Role | Address |
|---|---|---|
| KRUEGER, TONICE | Secretary | 4566 E Hwy 20, 104 NICEVILLE, FL 32578 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000047125 | KRUEGER INTEGRATIVE PSYCHOLOGICAL SERVICES | EXPIRED | 2019-04-15 | 2024-12-31 | No data | 4467 NEW MARKET, NICEVILLE, FL, 32547-8 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-09 | 4566 E HWY 20 SUITE 104, NICEVILLE, FL 32578 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-10-10 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| REINSTATEMENT | 2022-10-05 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2022-10-05 | 4566 E HWY 20 SUITE 104, NICEVILLE, FL 32578 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-10-05 | LEGALINC CORPORATE SERVICES INC. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-09 |
| ANNUAL REPORT | 2023-03-01 |
| REINSTATEMENT | 2022-10-05 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-06-03 |
| Domestic Profit | 2019-04-05 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5878497307 | 2020-04-30 | 0491 | PPP | 4566 E HIGHWAY 20 STE 104, NICEVILLE, FL, 32578-8839 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 16 Feb 2025
Sources: Florida Department of State
