| Entity Name: | MENTAL WELLNESS CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 06 Sep 2018 (6 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L18000212600 |
| FEI/EIN Number | 83-1864866 |
| Address: | 3580 MYSTIC POINTE DR, AVENTURA, FL 33180 |
| Mail Address: | 309 S 57 TER, HOLLYWOOD, FL 33023 |
| ZIP code: | 33180 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336622489 | 2018-09-13 | 2018-09-13 | 309 S 57TH TER, HOLLYWOOD, FL, 330231426, US | 3580 MYSTIC POINTE DR, AVENTURA, FL, 331802554, US | |||||||||||||||||||||||
|
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| Phone | +1 305-338-4027 |
| Phone | +1 786-708-7166 |
Authorized person
| Name | NICOLE BERRY |
| Role | CEO |
| Phone | 3053384027 |
Taxonomy
| Taxonomy Code | 101Y00000X - Counselor |
| Is Primary | Yes |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BERRY, NICOLE | Agent | 309 S 57 TER, HOLLYWOOD, FL 33023 |
| Name | Role | Address |
|---|---|---|
| Berry, Nicole | Chief Executive Officer | 309 S 57 TER, HOLLYWOOD, FL 33023 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-05-01 |
| Florida Limited Liability | 2018-09-06 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
