| Entity Name: | WISE MINDS COUNSELING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Jan 2017 (8 years ago) |
| Document Number: | L17000017884 |
| FEI/EIN Number | 81-5102965 |
| Address: | 1150 N. 12TH AVE, PENSACOLA, FL, 32501 |
| Mail Address: | 1150 N. 12TH AVE, PENSACOLA, FL, 32501 |
| ZIP code: | 32501 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780116822 | 2017-03-29 | 2017-03-29 | 1150 N 12TH AVE, PENSACOLA, FL, 325013308, US | 1150 N 12TH AVE, PENSACOLA, FL, 325013308, US | |||||||||||||||||||
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| Phone | +1 850-602-2411 |
| Fax | 8504691081 |
Authorized person
| Name | KELCEY KILLINGSWORTH |
| Role | OWNER/THERAPIST |
| Phone | 8506022411 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH 10486 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KILLINGSWORTH KELCEY | Agent | 1150 N. 12TH AVE, PENSACOLA, FL, 32501 |
| Name | Role | Address |
|---|---|---|
| KILLINGSWORTH KELCEY | Manager | 1150 N. 12TH AVE, PENSACOLA, FL, 32501 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-03-19 |
| ANNUAL REPORT | 2021-02-10 |
| ANNUAL REPORT | 2020-03-02 |
| ANNUAL REPORT | 2019-03-13 |
| ANNUAL REPORT | 2018-03-06 |
| Florida Limited Liability | 2017-01-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
