| Entity Name: | THE LIVING WELL COLLECTIVE CO. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Apr 2021 (4 years ago) |
| Document Number: | P21000040277 |
| FEI/EIN Number | 86-3778485 |
| Address: | 9550 Regency Square Blvd #400, Jacksonville, FL, 32225, US |
| Mail Address: | 9550 Regency Square Blvd #400, Jacksonville, FL, 32225, US |
| ZIP code: | 32225 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700460250 | 2021-05-11 | 2022-03-29 | 12400 YELLOW BLUFF RD STE 107, JACKSONVILLE, FL, 322265070, US | 12400 YELLOW BLUFF RD STE 107, JACKSONVILLE, FL, 322265070, US | |||||||||||||||||||
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| Phone | +1 904-339-5937 |
| Fax | 9046156978 |
Authorized person
| Name | MS. CARISSA L DORE |
| Role | CEO |
| Phone | 9043395937 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DORE CARISSA L | Agent | 15612 SHARK RD W, JACKSONVILLE, FL, 32226 |
| Name | Role | Address |
|---|---|---|
| Dore Carissa L | Chief Executive Officer | 9550 Regency Square Blvd, Jacksonville, FL, 32225 |
| Name | Role | Address |
|---|---|---|
| Marler Anthony J | Chief Operating Officer | 9550 Regency Square Blvd, Jacksonville, FL, 32225 |
| Name | Role | Address |
|---|---|---|
| Moses Ruby | Director | 9550 Regency Square Blvd, Jacksonville, FL, 32225 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000068311 | THE MARRIAGE FOUNDRY | ACTIVE | 2022-06-03 | 2027-12-31 | No data | 9550 REGENCY SQUARE BLVD, #400, JACKSONVILLE, FL, 32225 |
| G21000071541 | EVERY GIRL LIVING | ACTIVE | 2021-05-26 | 2026-12-31 | No data | 5440 REGENCY SQUARE BLVD, #400, JACKSONVILLE, FL, 32225 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-06-19 | 9550 Regency Square Blvd #400, Jacksonville, FL 32225 | No data |
| CHANGE OF MAILING ADDRESS | 2023-06-19 | 9550 Regency Square Blvd #400, Jacksonville, FL 32225 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-01-16 |
| ANNUAL REPORT | 2022-03-17 |
| Domestic Profit | 2021-04-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
