| Entity Name: | HEALING JOURNEY THERAPY , P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 11 Jan 2023 (2 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 15 Feb 2023 (2 years ago) |
| Document Number: | P23000004012 |
| FEI/EIN Number | 92-1916502 |
| Address: | 853 State Road 436, Ste 1091, Casselberry, FL 32707 |
| Mail Address: | 853 State Road 436, Ste 1091, Casselberry, FL 32707 |
| ZIP code: | 32707 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134829252 | 2023-03-07 | 2023-11-22 | 853 STATE ROAD 436 STE 1091, CASSELBERRY, FL, 327075479, US | 853 STATE ROAD 436 STE 1091, CASSELBERRY, FL, 327075479, US | |||||||||||||
|
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| Phone | +1 407-279-1970 |
Authorized person
| Name | SANDRA MARIA JOHNSON |
| Role | OWNER/PRESIDENT |
| Phone | 4072791970 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOHNSON, SANDRA | Agent | 853 State Road 436, Ste 1091, Casselberry, FL 32707 |
| Name | Role | Address |
|---|---|---|
| JOHNSON, SANDRA | Owner | 853 State Road 436, Ste 1091 Casselberry, FL 32707 |
| Name | Role | Address |
|---|---|---|
| JOHNSON, SANDRA | Clinical Director | 853 State Road 436, Ste 1091 Casselberry, FL 32707 |
| Name | Role | Address |
|---|---|---|
| JOHNSON, STEVEN | Officer | 853 State Road 436, Ste 1091 Casselberry, FL 32707 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000015590 | JOURNEY TO HEALING | ACTIVE | 2023-02-01 | 2028-12-31 | No data | 2000 CHAPMAN OAKS DRIVE, OVIEDO, FL, 32765 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-21 | 853 State Road 436, Ste 1091, Casselberry, FL 32707 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-21 | 853 State Road 436, Ste 1091, Casselberry, FL 32707 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-21 | 853 State Road 436, Ste 1091, Casselberry, FL 32707 | No data |
| AMENDMENT | 2023-02-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-21 |
| Amendment | 2023-02-15 |
| Domestic Profit | 2023-01-11 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
