| Entity Name: | MIND TAKES PRACTICE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Oct 2019 (5 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 01 Jun 2022 (3 years ago) |
| Document Number: | L19000269207 |
| FEI/EIN Number | 84-3665114 |
| Address: | 15715 S Dixie Hwy, Miami, FL, 33157, US |
| Mail Address: | 15715 S Dixie Hwy, Miami, FL, 33157, US |
| ZIP code: | 33157 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548808926 | 2019-12-16 | 2019-12-16 | 15443 SW 102ND PL, MIAMI, FL, 331571437, US | 15443 SW 102ND PL, MIAMI, FL, 331571437, US | |||||||||||||
|
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| Phone | +1 786-663-8573 |
Authorized person
| Name | NATASHA V FERNANDEZ |
| Role | CLINICAL COUNSELOR |
| Phone | 7864752309 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GUZMAN-FERNANDEZ NATASHA | Agent | 15443 SW 102 PLACE, Miami, FL, 33157 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ-GUZMAN NATASHA V | Manager | 15715 S Dixie Hwy, Miami, FL, 33157 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2022-06-01 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-06-01 | GUZMAN-FERNANDEZ, NATASHA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-06-01 | 15443 SW 102 PLACE, Miami, FL 33157 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-26 | 15715 S Dixie Hwy, SUITE 320, Miami, FL 33157 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-26 | 15715 S Dixie Hwy, SUITE 320, Miami, FL 33157 | No data |
| LC AMENDMENT | 2021-11-17 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-04-28 |
| LC Amendment | 2022-06-01 |
| ANNUAL REPORT | 2022-04-26 |
| LC Amendment | 2021-11-17 |
| ANNUAL REPORT | 2021-09-17 |
| ANNUAL REPORT | 2020-04-29 |
| Florida Limited Liability | 2019-10-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
