| Entity Name: | MINDFUL LIVING OF CENTRAL FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 May 2017 (8 years ago) |
| Document Number: | L17000109177 |
| FEI/EIN Number | 82-1592965 |
| Address: | 4954 Wildwood Pointe Rd, Winter Garden, FL 34787 |
| Mail Address: | 4954 Wildwood Pointe Rd, Winter Garden, FL 34787 |
| ZIP code: | 34787 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801351234 | 2019-02-11 | 2019-02-11 | 9300 WINDERMERE CONROY RD, SUITE 3284, WINDERMERE, FL, 34786, US | 9300 WINDERMERE CONROY RD, SUITE 3284, WINDERMERE, FL, 34786, US | |||||||||||||||||||
|
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| Phone | +1 407-917-1316 |
Authorized person
| Name | MELANY ROSSY |
| Role | OWNER |
| Phone | 4079171316 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1356877674 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROSSY, MELANY | Agent | 4954 Wildwood Pointe Rd, Winter Garden, FL 34787 |
| Name | Role | Address |
|---|---|---|
| Melany, Rossy | Chief Executive Officer | 4954 Wildwood Pointe Rd, Winter Garden, FL 34787 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-02-11 | 4954 Wildwood Pointe Rd, Winter Garden, FL 34787 | No data |
| CHANGE OF MAILING ADDRESS | 2025-02-11 | 4954 Wildwood Pointe Rd, Winter Garden, FL 34787 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2025-02-11 | 4954 Wildwood Pointe Rd, Winter Garden, FL 34787 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-10 | 1700 Monroe Ave, Maitland, FL 32751 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-10 | 1700 Monroe Ave, Maitland, FL 32751 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-10 | 1700 Monroe Ave, Maitland, FL 32751 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-11 |
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-04-16 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-01-25 |
| Florida Limited Liability | 2017-05-17 |
Date of last update: 18 Feb 2025
Sources: Florida Department of State
