| Entity Name: | MOSAIC PSYCHOLOGICAL AND WELLNESS CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Feb 2014 (11 years ago) |
| Document Number: | L14000029478 |
| FEI/EIN Number | 46-4873059 |
| Address: | 1201 Maclaren St., ST. AUGUSTINE, FL, 32092, US |
| Mail Address: | 1201 Maclaren St., ST. AUGUSTINE, FL, 32092, US |
| ZIP code: | 32092 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831506211 | 2014-07-17 | 2014-07-17 | 1201 MACLAREN ST, SAINT AUGUSTINE, FL, 320923431, US | 200 MALAGA ST, SUITE 1, SAINT AUGUSTINE, FL, 320843523, US | |||||||||||||
|
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| Phone | +1 904-806-3070 |
Authorized person
| Name | DARRIN JOHN KIRKENDALL |
| Role | CEO |
| Phone | 9048063070 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| LANSING ROY,P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| KIRKENDALL DARRIN J | Manager | 1201 MACLAREN ST., ST. AUGUSTINE, FL, 32092 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-09-20 | 1201 Maclaren St., ST. AUGUSTINE, FL 32092 | No data |
| CHANGE OF MAILING ADDRESS | 2023-09-20 | 1201 Maclaren St., ST. AUGUSTINE, FL 32092 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-19 |
| ANNUAL REPORT | 2023-09-20 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-18 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-02-03 |
| ANNUAL REPORT | 2016-01-04 |
| ANNUAL REPORT | 2015-01-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
