| Entity Name: | SOUTH TAMPA THERAPY AND WELLNESS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 29 Dec 2020 (4 years ago) |
| Document Number: | P21000001752 |
| FEI/EIN Number | 861360929 |
| Address: | 3825 Henderson Blvd. Suite 304, TAMPA, FL, 33629, US |
| Mail Address: | 4210 W. Gray St, Tampa, FL, 33609, US |
| ZIP code: | 33629 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154900991 | 2021-04-07 | 2022-03-08 | 3825 HENDERSON BLVD STE 304, TAMPA, FL, 336295021, US | 3825 HENDERSON BLVD STE 304, TAMPA, FL, 336295021, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 813-281-2177 |
Authorized person
| Name | YVETTE TUCHOLSKI-DEKELES |
| Role | PRESIDENT |
| Phone | 8132812177 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TUCHOLSKI-DEKELES YVETTE | Agent | 4210 W. Gray St, Tampa, FL, 33609 |
| Name | Role | Address |
|---|---|---|
| TUCHOLSKI-DEKELES YVETTE | President | 4210 W. GRAY ST., TAMPA, FL, 33609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-08 | 3825 Henderson Blvd. Suite 304, TAMPA, FL 33629 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-08 | 3825 Henderson Blvd. Suite 304, TAMPA, FL 33629 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-08 | 4210 W. Gray St, Unit 2, Tampa, FL 33609 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-03-08 |
| Domestic Profit | 2020-12-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
