| Entity Name: | AWAKENED MIND, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Dec 2014 (10 years ago) |
| Document Number: | L14000190788 |
| FEI/EIN Number | 47-4329234 |
| Mail Address: | 6810 Lyons Technology Circle, Coconut Creek, FL, 33073, US |
| Address: | 6810 LYONS TECHNOLOGY CIR, COCONUT CREEK, FL, 33073, US |
| ZIP code: | 33073 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174976435 | 2016-07-21 | 2016-07-21 | 7401 WILES ROAD, SUITE 253, CORAL SPRINGS, FL, 33067, US | 7401 WILES ROAD, SUITE 253, CORAL SPRINGS, FL, 33067, US | |||||||||||||||||||
|
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| Phone | +1 561-420-4031 |
| Fax | 9548270297 |
Authorized person
| Name | ILENE JOY GLANCE |
| Role | OWNER/THERAPIST |
| Phone | 5614204031 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | MH11538 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GLANCE ILENE J | Agent | 6810 LYONS TECHNOLOGY CIR, COCONUT CREEK, FL, 33073 |
| Name | Role | Address |
|---|---|---|
| GLANCE ILENE J | Manager | 6810 LYONS TECHNOLOGY CIR, COCONUT CREEK, FL, 33073 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-01-19 | 6810 LYONS TECHNOLOGY CIR, SUITE 125, COCONUT CREEK, FL 33073 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-19 | 6810 LYONS TECHNOLOGY CIR, SUITE 125, COCONUT CREEK, FL 33073 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-08-26 | 6810 LYONS TECHNOLOGY CIR, SUITE 125, COCONUT CREEK, FL 33073 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-01-04 | GLANCE, ILENE J | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-03-22 |
| ANNUAL REPORT | 2022-01-19 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-01-29 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-02-22 |
| AMENDED ANNUAL REPORT | 2016-04-29 |
| AMENDED ANNUAL REPORT | 2016-04-27 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
