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ALISA GROVE PA - Florida Company Profile

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Company Details

Entity Name: ALISA GROVE PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 09 Jun 2020 (5 years ago)
Document Number: P20000043446
FEI/EIN Number 823113919
Address: 4408 Bedford Way, Leesburg, FL, 34748, US
Mail Address: 4408 Bedford Way, Leesburg, FL, 34748, US
ZIP code: 34748
City: Leesburg
County: Lake
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GROVE ALISA President 4408 Bedford Way, Leesburg, FL, 34748
GROVE ALISA Agent 4408 Bedford Way, Leesburg, FL, 34748

National Provider Identifier

NPI Number:
1124635081
Certification Date:
2024-05-30

Authorized Person:

Name:
ALISA GROVE
Role:
OWNER/ PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
101YP2500X - Professional Counselor
Is Primary:
No
Selected Taxonomy:
102L00000X - Psychoanalyst
Is Primary:
No
Selected Taxonomy:
106H00000X - Marriage & Family Therapist
Is Primary:
No
Selected Taxonomy:
101Y00000X - Counselor
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Fax:
4076046497

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000100777 MY THERAPIST SAY'D ACTIVE 2024-08-23 2029-12-31 - 4408 BEDFORD WAY, LEESBURG, FL, 34748
G20000091211 ALWAYS BEHAVIORAL COUNSELING SERVICES ACTIVE 2020-07-28 2025-12-31 - 5724 BYRON ANTHONY PL #338, SANFORD, FL, 32771

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-08 4408 Bedford Way, Leesburg, FL 34748 -
CHANGE OF MAILING ADDRESS 2023-01-08 4408 Bedford Way, Leesburg, FL 34748 -
REGISTERED AGENT ADDRESS CHANGED 2023-01-08 4408 Bedford Way, Leesburg, FL 34748 -

Documents

Name Date
ANNUAL REPORT 2024-01-19
ANNUAL REPORT 2023-01-08
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-01-13
Domestic Profit 2020-06-09

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Date of last update: 02 Jul 2025

Sources: Florida Department of State