| Entity Name: | MIND AND BRAIN CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MIND AND BRAIN CARE, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 29 Mar 2010 (15 years ago) |
| Document Number: | L10000034509 |
| FEI/EIN Number |
272261199
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 10175 BEN C. PRATT/6 MILE CYPRESS PKWY,, FORT MYERS, FL, 33966-6993, US |
| Mail Address: | 10175 BEN C. PRATT/6 MILE CYPRESS PKWY,, FORT MYERS, FL, 33966-6993, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1942516844 | 2010-08-30 | 2023-12-11 | 10175 6 MILE CYPRESS PKWY, SUITE 3, FORT MYERS, FL, 339669663, US | 10175 6 MILE CYPRESS PKWY STE 3, FORT MYERS, FL, 339666993, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 239-768-6500 |
| Fax | 2397686421 |
Authorized person
| Name | DR. MABEL LOPEZ |
| Role | OWNER |
| Phone | 2397686500 |
Taxonomy
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| License Number | PY7375 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 103TB0200X - Cognitive & Behavioral Psychologist |
| License Number | PY7375 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY7375 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TC1900X - Counseling Psychologist |
| License Number | PY7375 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TC2200X - Clinical Child & Adolescent Psychologist |
| License Number | PY7375 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TF0200X - Forensic Psychologist |
| License Number | PY7375 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TM1800X - Intellectual & Developmental Disabilities Psychologist |
| License Number | PY7375 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 75725 |
| State | FL |
| Issuer | CIGNA |
| Number | 6022640 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LOPEZ MABEL P | Managing Member | 10175 BEN C. PRATT/6 MILE CYPRESS PKWY,, FORT MYERS, FL, 339666993 |
| LOPEZ MABEL P | Agent | 10175 BEN C PRATT/ 6 MILE CYPRESS PKWY, FORT MYERS, FL, 33966 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-03 | 10175 BEN C PRATT/ 6 MILE CYPRESS PKWY, STE 3, FORT MYERS, FL 33966 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2017-10-03 | 10175 BEN C. PRATT/6 MILE CYPRESS PKWY,, STE 3, FORT MYERS, FL 33966-6993 | - |
| CHANGE OF MAILING ADDRESS | 2017-10-03 | 10175 BEN C. PRATT/6 MILE CYPRESS PKWY,, STE 3, FORT MYERS, FL 33966-6993 | - |
| REGISTERED AGENT NAME CHANGED | 2010-08-30 | LOPEZ, MABEL PH.D. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-06-13 |
| ANNUAL REPORT | 2018-04-03 |
| ANNUAL REPORT | 2017-05-15 |
| ANNUAL REPORT | 2016-02-10 |
| ANNUAL REPORT | 2015-02-23 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1747347103 | 2020-04-10 | 0455 | PPP | 10175 6 MILE CYPRESS PKWY STE 3, FORT MYERS, FL, 33966-6993 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Apr 2025
Sources: Florida Department of State
