| Entity Name: | MINDFUL COUNSELING SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Apr 2016 (9 years ago) |
| Document Number: | L16000077920 |
| FEI/EIN Number | 81-2350672 |
| Address: | 242 Edgewood Drive, Stuart, FL, 34996, US |
| Mail Address: | 242 Edgewood Drive, Stuart, FL, 34996, US |
| ZIP code: | 34996 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922545763 | 2017-01-31 | 2017-01-31 | 1330 SW 34TH ST, PALM CITY, FL, 349903310, US | 1330 SW 34TH ST, PALM CITY, FL, 349903310, US | |||||||||||||||||||||||
|
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| Phone | +1 772-324-1950 |
Authorized person
| Name | SARAH CATHERINE PAULICK |
| Role | PSYCHOTHERAPIST |
| Phone | 7723241950 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH140752 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 016815100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PAULICK SARAH CLMHC | Agent | 242 Edgewood Drive, Stuart, FL, 34996 |
| Name | Role | Address |
|---|---|---|
| PAULICK SARAH CLMHC | Authorized Person | 242 Edgewood Drive, Stuart, FL, 34996 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-01 | 242 Edgewood Drive, Stuart, FL 34996 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-01 | 242 Edgewood Drive, Stuart, FL 34996 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-01 | 242 Edgewood Drive, Stuart, FL 34996 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-01 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-03-30 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-06-01 |
| ANNUAL REPORT | 2019-03-31 |
| ANNUAL REPORT | 2018-04-29 |
| ANNUAL REPORT | 2017-02-11 |
| Florida Limited Liability | 2016-04-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
