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THRIVEWORKS CLINICAL - FLORIDA, INC.

Company Details

Entity Name: THRIVEWORKS CLINICAL - FLORIDA, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 26 May 2020 (5 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 04 Nov 2021 (3 years ago)
Document Number: P20000037843
FEI/EIN Number 85-1209795
Address: 1000 JEFFERSON STREET, SUITE 2C, LYNCHBURG, VA 24504
Mail Address: 1000 JEFFERSON STREET, SUITE 2C, LYNCHBURG, VA 24504
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396360996 2020-06-10 2021-12-29 1000 JEFFERSON ST STE 2C, LYNCHBURG, VA, 245041724, US 2425 E COMMERCIAL BLVD STE 405, FORT LAUDERDALE, FL, 333084029, US

Contacts

Phone +1 754-400-5514

Authorized person

Name NATHAN M MILLER
Role OWNER
Phone 5402176461

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role
INCORP SERVICES, INC. Agent

Director

Name Role Address
CENTORE, ANTHONY Director 1000 JEFFERSON STREET, SUITE 2C, LYNCHBURG, VA 24504

Secretary

Name Role Address
Marc, Brooks Secretary 1000 Jefferson Street Suite 2C, LYNCHBURG, VA 24504

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-03-17 3458 LAKESHORE DRIVE, TALLAHASSEE, FL 32312 No data
REGISTERED AGENT NAME CHANGED 2022-04-25 INCORP SERVICES, INC. No data
REINSTATEMENT 2021-11-04 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-04-18
Reg. Agent Change 2022-04-25
ANNUAL REPORT 2022-01-27
REINSTATEMENT 2021-11-04
Domestic Profit 2020-05-26

Date of last update: 15 Jan 2025

Sources: Florida Department of State