| Entity Name: | HEALTHY SELF MENTAL WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Aug 2019 (5 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 21 Oct 2021 (3 years ago) |
| Document Number: | L19000209139 |
| FEI/EIN Number | 87-2661601 |
| Address: | 1010 capital circle Sw, TALLAHASSEE, FL, 32304, US |
| Mail Address: | 8759 greenridge lane, TALLAHASSEE, FL, 32312, US |
| ZIP code: | 32304 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568118800 | 2022-02-24 | 2022-12-30 | 8759 GREENRIDGE LN, TALLAHASSEE, FL, 323123696, US | 1010 CAPITAL CIRCLE SW, TALLAHASSEE, FL, 323049261, US | |||||||||||||||||||
|
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| Phone | +1 850-879-1164 |
| Fax | 8508486543 |
Authorized person
| Name | DR. MAGENTA HALL |
| Role | OWNER OF ENTITY |
| Phone | 8508791164 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HALL MAGENTA | Agent | 1010 capital circle Sw, TALLAHASSEE, FL, 32304 |
| Name | Role | Address |
|---|---|---|
| HALL MAGENTA | Authorized Member | 8759 greenridge lane, TALLAHASSEE, FL, 32312 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-30 | 1010 capital circle Sw, TALLAHASSEE, FL 32304 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-30 | 1010 capital circle Sw, TALLAHASSEE, FL 32304 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-30 | 1010 capital circle Sw, TALLAHASSEE, FL 32304 | No data |
| LC NAME CHANGE | 2021-10-21 | HEALTHY SELF MENTAL WELLNESS LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-14 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-30 |
| LC Name Change | 2021-10-21 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-04-05 |
| Florida Limited Liability | 2019-08-21 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
