| Entity Name: | MIND BODY WELLNESS GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Aug 2018 (6 years ago) |
| Document Number: | L18000203564 |
| FEI/EIN Number | 831693134 |
| Address: | 3637 4th Street N., SUITE #390, ST PETERSBURG, FL, 33704, US |
| Mail Address: | 246 22ND AVENUE NE, ST PETERSBURG, FL, 33704, US |
| ZIP code: | 33704 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750862017 | 2018-08-24 | 2018-08-24 | 735 ARLINGTON AVE N STE 205, ST PETERSBURG, FL, 337013653, US | 735 ARLINGTON AVE N STE 205, ST PETERSBURG, FL, 337013653, US | |||||||||||||||||||||||
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| Phone | +1 727-310-5520 |
Authorized person
| Name | MR. JOHN WALLACE STONE JR. |
| Role | AUTHORIZED MANAGER |
| Phone | 7273105520 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | SW14906 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1629433636 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| STONE JOHN WJR. | Agent | 246 22ND AVENUE NE, ST PETERSBURG, FL, 33704 |
| Name | Role | Address |
|---|---|---|
| STONE JOHN WJR. | Authorized Manager | 246 22ND AVENUE NE, ST PETERSBURG, FL, 33704 |
| STONE LYNN B | Authorized Manager | 246 22ND AVENUE NE, ST PETERSBURG, FL, 33704 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-16 | 3637 4th Street N., SUITE #390, ST PETERSBURG, FL 33704 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-03-05 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-03-30 |
| Florida Limited Liability | 2018-08-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
