| Entity Name: | LEARNING TO ACHIEVE WELLNESS INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 23 Mar 2022 (3 years ago) |
| Document Number: | P22000026087 |
| FEI/EIN Number | 88-1962061 |
| Address: | 413 W Robertson St, Suite B, Brandon, FL 33511 |
| Mail Address: | 413 W Robertson St, Suite B, Brandon, FL 33511 |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033849575 | 2022-06-16 | 2023-10-18 | 413 W ROBERTSON ST, BRANDON, FL, 335115014, US | 413 W ROBERTSON ST, BRANDON, FL, 335115014, US | |||||||||||||||||||||||||
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| Phone | +1 813-999-1516 |
| Fax | 8133368384 |
Authorized person
| Name | MS. LILLIAN INGRAM |
| Role | OWNER |
| Phone | 8139991516 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 102546400 |
| State | FL |
| Name | Role |
|---|---|
| BRITTANY BENNETT, CPA, PA | Agent |
| Name | Role | Address |
|---|---|---|
| INGRAM, LILLIAN E | President | 413 W Robertson St, Suite B Brandon, FL 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-18 | 413 W Robertson St, Suite B, Brandon, FL 33511 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-18 | 413 W Robertson St, Suite B, Brandon, FL 33511 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-02-09 | Brittany Bennett CPA PA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-09 | 523 E Lumsden Road, SUITE 407, Brandon, FL 33511 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-18 |
| ANNUAL REPORT | 2023-02-09 |
| Domestic Profit | 2022-03-23 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
