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MINDFUL THERAPY LLC

Company Details

Entity Name: MINDFUL THERAPY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 30 Oct 2017 (7 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 09 Oct 2019 (5 years ago)
Document Number: L17000223974
FEI/EIN Number 47-5346322
Address: 770 Ponce De Leon Blvd, Coral Gables, FL, 33134, US
Mail Address: 770 Ponce De Leon Blvd, Coral Gables, FL, 33134, US
ZIP code: 33134
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972095412 2018-05-31 2023-09-26 770 PONCE DE LEON BLVD STE 307, CORAL GABLES, FL, 331342069, US 770 PONCE DE LEON BLVD STE 307, CORAL GABLES, FL, 331342069, US

Contacts

Phone +1 786-344-8757
Fax 7862214447

Authorized person

Name LECSY TANIA HERNANDEZ
Role CEO /EXECUTIVE DIRECTOR
Phone 7863448757

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
License Number MH15891
State FL
Is Primary No
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary No
Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role Address
HERNANDEZ LECSY T Agent 770 Ponce De Leon Blvd, Coral Gables, FL, 33134

Authorized Member

Name Role Address
HERNANDEZ LECSY T Authorized Member 770 Ponce De Leon Blvd, Coral Gables, FL, 33134

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-02-24 770 Ponce De Leon Blvd, 307, Coral Gables, FL 33134 No data
CHANGE OF MAILING ADDRESS 2022-02-24 770 Ponce De Leon Blvd, 307, Coral Gables, FL 33134 No data
REGISTERED AGENT ADDRESS CHANGED 2022-02-24 770 Ponce De Leon Blvd, 307, Coral Gables, FL 33134 No data
LC AMENDMENT 2019-10-09 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-09
ANNUAL REPORT 2023-02-24
ANNUAL REPORT 2022-02-24
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-06-11
LC Amendment 2019-10-09
ANNUAL REPORT 2019-02-09
ANNUAL REPORT 2018-02-05
Florida Limited Liability 2017-10-30

Date of last update: 02 Feb 2025

Sources: Florida Department of State