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CHANGE OF MIND, LLC

Company Details

Entity Name: CHANGE OF MIND, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 22 Oct 2015 (9 years ago)
Document Number: L15000179777
FEI/EIN Number 47-5491551
Address: 314 NW Bethany Dr, PORT ST LUCIE, FL 34986
Mail Address: 314 NW Bethany Dr, PORT ST LUCIE, FL 34986
ZIP code: 34986
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811443195 2016-08-28 2018-12-20 314 N.W. BETHANY DR, PORT ST LUCIE, FL, 34986, US 314 N.W. BETHANY DR, PORT ST LUCIE, FL, 34986, US

Contacts

Phone +1 772-284-6030
Fax 7722525746

Authorized person

Name ERIC R LEEVER
Role OWNER
Phone 7722846030

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
License Number MH10303
State FL
Is Primary Yes

Agent

Name Role Address
LEEVER, ERIC Agent 314 NW Bethany Dr, PORT ST LUCIE, FL 34986

President

Name Role Address
LEEVER, ERIC President 314 NW Bethany Dr, PORT ST LUCIE, FL 34986

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000080669 LEEVER MENTAL HEALTH COUNSELING ACTIVE 2018-07-27 2028-12-31 No data 314 NW BETHANY DR, PORT ST. LUCIE, FL, 34986

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-02-21 314 NW Bethany Dr, PORT ST LUCIE, FL 34986 No data
CHANGE OF MAILING ADDRESS 2017-02-21 314 NW Bethany Dr, PORT ST LUCIE, FL 34986 No data
REGISTERED AGENT ADDRESS CHANGED 2017-02-21 314 NW Bethany Dr, PORT ST LUCIE, FL 34986 No data

Documents

Name Date
ANNUAL REPORT 2024-01-25
ANNUAL REPORT 2023-02-24
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-06-09
ANNUAL REPORT 2019-04-01
ANNUAL REPORT 2018-04-03
ANNUAL REPORT 2017-02-21
ANNUAL REPORT 2016-04-02
Florida Limited Liability 2015-10-22

Date of last update: 20 Jan 2025

Sources: Florida Department of State