| Entity Name: | BEHAVIORAL HEALTH MINUTE CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Feb 2019 (6 years ago) |
| Document Number: | L19000052843 |
| FEI/EIN Number | 83-3811990 |
| Address: | 103 LAKE RENA DR, LONGWOOD, FL, 32779, US |
| Mail Address: | 103 LAKE RENA DR, LONGWOOD, FL, 32779, US |
| ZIP code: | 32779 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336704154 | 2019-05-07 | 2019-05-09 | 466 WOLDUNN CIR, LAKE MARY, FL, 327465914, US | 1971 LEE RD STE 203, WINTER PARK, FL, 327891875, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 561-702-9216 |
| Fax | 3213631912 |
| Phone | +1 407-450-8151 |
Authorized person
| Name | RENA PETERSON |
| Role | OWNER |
| Phone | 5617029216 |
Taxonomy
| Taxonomy Code | 103TP2701X - Group Psychotherapy Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PETERSON RENA | Agent | 103 LAKE RENA DR, LONGWOOD, FL, 32779 |
| Name | Role | Address |
|---|---|---|
| PETERSON RENA | Manager | 103 LAKE RENA DR, LONGWOOD, FL, 32779 |
| RIOS ORTEGA DALLY | Manager | 10294 CAROLINE PARK DR, ORLANDO, FL, 32832 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-26 | 103 LAKE RENA DR, LONGWOOD, FL 32779 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-26 | 103 LAKE RENA DR, LONGWOOD, FL 32779 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-26 | 103 LAKE RENA DR, LONGWOOD, FL 32779 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-08 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-06-28 |
| Florida Limited Liability | 2019-02-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
