| Entity Name: | LIVEWELL INTEGRATIVE HEALTH CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 Feb 2021 (4 years ago) |
| Document Number: | P21000017182 |
| FEI/EIN Number | 86-2494168 |
| Address: | 8249 DEVEREUX DRIVE, 101, MELBOURNE, FL, 32940 |
| Mail Address: | 200 S HARBOR CITY BLVD, 401, MELBOURNE, FL, 32901 |
| ZIP code: | 32940 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356926695 | 2021-03-17 | 2021-03-17 | 200 S HARBOR CITY BLVD STE 401, MELBOURNE, FL, 329011389, US | 8249 DEVEREUX DR STE 101, MELBOURNE, FL, 329407955, US | |||||||||||||||||||||
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| Phone | +1 321-446-7150 |
| Phone | +1 321-259-1662 |
| Fax | 3217797729 |
Authorized person
| Name | MRS. CATHY CROMARTIE |
| Role | DIRECTOR OF OPERATIONS |
| Phone | 3214467150 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RONSISVALLE RICHARD M | Agent | 8249 DEVEREUX DRIVE, MELBOURNE, FL, 32940 |
| Name | Role | Address |
|---|---|---|
| RONSISVALLE RICHARD M | President | 8249 DEVEREUX DRIVE SUITE 101, MELBOURNE, FL, 32940 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-04-18 |
| ANNUAL REPORT | 2022-02-03 |
| Domestic Profit | 2021-02-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
