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PEACEFUL MIND THERAPY OF FLORIDA, LLC

Company Details

Entity Name: PEACEFUL MIND THERAPY OF FLORIDA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 27 Jun 2017 (8 years ago)
Document Number: L17000139668
FEI/EIN Number 822159481
Address: 1185 Immokalee Road, NAPLES, FL, 34110, US
Mail Address: 1185 Immokalee Road, Suite 220, Naples, FL, 34110, US
ZIP code: 34110
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316456791 2017-09-28 2024-04-09 1185 IMMOKALEE RD STE 220, NAPLES, FL, 341104807, US 1185 IMMOKALEE RD, NAPLES, FL, 341104807, US

Contacts

Phone +1 239-302-7801

Authorized person

Name MRS. JANE ROSE SIMMONS
Role OWNER
Phone 2393027801

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
License Number MH12440
State FL
Is Primary Yes
Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
License Number MH12440
State FL
Is Primary No

Agent

Name Role Address
SIMMONS JANE Agent 1434 MONARCH CIRCLE, NAPLES, FL, 34116

President

Name Role Address
SIMMONS JANE President 1434 MONARCH CIRCLE, NAPLES, FL, 34116

Director

Name Role Address
SIMMONS JANE Director 1434 MONARCH CIRCLE, NAPLES, FL, 34116

Secretary

Name Role Address
SIMMONS JANE Secretary 1434 MONARCH CIRCLE, NAPLES, FL, 34116

Treasurer

Name Role Address
SIMMONS JANE Treasurer 1434 MONARCH CIRCLE, NAPLES, FL, 34116

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-01-11 1185 Immokalee Road, suite 220, NAPLES, FL 34110 No data
CHANGE OF MAILING ADDRESS 2021-01-11 1185 Immokalee Road, suite 220, NAPLES, FL 34110 No data

Documents

Name Date
ANNUAL REPORT 2024-03-16
ANNUAL REPORT 2023-03-18
ANNUAL REPORT 2022-03-03
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-06-07
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-04-13
Florida Limited Liability 2017-06-27

Date of last update: 02 Feb 2025

Sources: Florida Department of State