| Entity Name: | SHARON M MITCHELL LMHC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 06 Jan 2020 (5 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 06 Jan 2020 (5 years ago) |
| Document Number: | L20000056799 |
| FEI/EIN Number | 84-4129994 |
| Address: | 1608 Southcrest Ct, Brandon, FL 33510 |
| Mail Address: | 1315 OAKFIELD DR #4019, BRANDON, FL 33511 |
| ZIP code: | 33510 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447887112 | 2020-03-24 | 2020-04-10 | PO BOX 4019, BRANDON, FL, 335094019, US | 150 E BLOOMINGDALE AVE, BRANDON, FL, 335118151, US | |||||||||||||||||||
|
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| Phone | +1 813-957-0419 |
Authorized person
| Name | SHARON MITCHELL LMHC |
| Role | THERAPIST/PRESIDENT |
| Phone | 8139570419 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | SMITCH6307 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MITCHELL, SHARON M | Agent | 1315 OAKFIELD DR #4019, BRANDON, FL 33511 |
| Name | Role | Address |
|---|---|---|
| MITCHELL, SHARON M | Manager | 1315 OAKFIELD DR #4019, BRANDON, FL 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-04 | 1608 Southcrest Ct, Brandon, FL 33510 | No data |
| CONVERSION | 2020-01-06 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P07000001621. CONVERSION NUMBER 900000200419 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-02-04 |
| ANNUAL REPORT | 2021-02-07 |
| Florida Limited Liability | 2020-01-06 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
