| Entity Name: | MINDFUL HEALING THERAPY AND WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 21 Apr 2017 (8 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L17000088711 |
| FEI/EIN Number | 82-1257652 |
| Address: | 400 East Dr. Martin Luther King Jr. Blvd, Tampa, FL, 33603, US |
| Mail Address: | 400 East Dr. Martin Luther King Jr. Blvd, Tampa, FL, 33603, US |
| ZIP code: | 33603 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366968554 | 2017-08-18 | 2022-07-21 | 400 E DR MARTIN LUTHER KING JR BLVD STE 101, TAMPA, FL, 336033866, US | 400 E DR MARTIN LUTHER KING JR BLVD STE 101, TAMPA, FL, 336033866, US | |||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 813-236-4673 |
| Fax | 8132364689 |
Authorized person
| Name | MS. JESSICA R GREAVES |
| Role | OWNER, PSYCHOTHERAPIST |
| Phone | 8135056867 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | SW14306 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| License Number | SW14306 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| License Number | SW14306 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| License Number | SW14306 |
| State | FL |
| Is Primary | No |
| Name | Role |
|---|---|
| AER ENTERPRISES, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| GREAVES JESSICA | Manager | 400 East Dr. Martin Luther King Jr. Blvd, Tampa, FL, 33603 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REINSTATEMENT | 2019-01-08 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-01-08 | 400 East Dr. Martin Luther King Jr. Blvd, Tampa, FL 33603 | No data |
| CHANGE OF MAILING ADDRESS | 2019-01-08 | 400 East Dr. Martin Luther King Jr. Blvd, Tampa, FL 33603 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-01-08 | AER ENTERPRISES, LLC | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J23000036426 | TERMINATED | 1000000941363 | HILLSBOROU | 2023-01-18 | 2033-01-25 | $ 962.84 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 5483 W WATERS AVE STE 1210, TAMPA FL336341236 |
| J21000641229 | TERMINATED | 1000000909508 | HILLSBOROU | 2021-12-08 | 2031-12-15 | $ 1,828.43 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 5483 W WATERS AVE STE 1210, TAMPA FL336341236 |
| Name | Date |
|---|---|
| REINSTATEMENT | 2019-01-08 |
| Florida Limited Liability | 2017-04-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
