| Entity Name: | MILLER MENTAL HEALTH SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 23 Mar 2018 (7 years ago) |
| Document Number: | L18000075689 |
| FEI/EIN Number | 82-5098981 |
| Address: | 175 E Dogwood Street, SUITE A, Monticello, FL 32344 |
| Mail Address: | PO BOX 231, Monticello, FL 32345 |
| ZIP code: | 32344 |
| County: | Jefferson |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174090526 | 2018-10-24 | 2018-10-24 | PO BOX 784, PORT SALERNO, FL, 349920784, US | 2440 SE FEDERAL HWY, STUART, FL, 349944531, US | |||||||||||||
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| Phone | +1 772-266-3254 |
Authorized person
| Name | LORI MILLER |
| Role | AUTHORIZED MEMBER |
| Phone | 7722663254 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MILLER, LORI R | Agent | 175 E Dogwood Street, SUITE A, Monticello, FL 32344 |
| Name | Role | Address |
|---|---|---|
| MILLER, JOSEPH M | Authorized Member | 175 E Dogwood Street, Suite A Monticello, FL 32344 |
| MILLER, LORI R | Authorized Member | 175 E Dogwood Street, Suite A Monticello, FL 32344 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-30 | 175 E Dogwood Street, SUITE A, Monticello, FL 32344 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-13 | 175 E Dogwood Street, SUITE A, Monticello, FL 32344 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-13 | 175 E Dogwood Street, SUITE A, Monticello, FL 32344 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-13 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-15 |
| ANNUAL REPORT | 2019-04-26 |
| Florida Limited Liability | 2018-03-23 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
