| Entity Name: | MIND & BODY INTEGRATIVE COUNSELING CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Feb 2020 (5 years ago) |
| Document Number: | L20000041276 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 9000 Sheridan street, Pembroke Pines, FL, 33024, US |
| Mail Address: | 9000 Sheridan street, Pembroke Pines, FL, 33024, US |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518709161 | 2024-06-12 | 2024-06-12 | 9000 SHERIDAN ST STE 154, PEMBROKE PINES, FL, 330248801, US | 9000 SHERIDAN ST STE 154, PEMBROKE PINES, FL, 330248801, US | |||||||||||||||||||
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| Phone | +1 954-281-2626 |
| Fax | 9542815946 |
Authorized person
| Name | TAYLOR NICOLE ROSAND |
| Role | OWNER/LICENSED COUNSELOR |
| Phone | 9542812626 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ROSAND TAYLOR | Agent | 5205 VAN BUREN ST, HOLLYWOOD, FL, 33021 |
| Name | Role | Address |
|---|---|---|
| ROSAND TAYLOR | Manager | 5205 VAN BUREN ST, HOLLYWOOD, FL, 33021 |
| FERNANDEZ YISEL | Manager | 7155 N. Augusta Dr, Hialeah, FL, 33015 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-13 | 9000 Sheridan street, 154, Pembroke Pines, FL 33024 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-13 | 9000 Sheridan street, 154, Pembroke Pines, FL 33024 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2021-04-25 |
| Florida Limited Liability | 2020-02-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
