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HEALTHY MINDS PSYCHOLOGICAL SERVICES, LLC

Company Details

Entity Name: HEALTHY MINDS PSYCHOLOGICAL SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 03 Apr 2020 (5 years ago)
Document Number: L20000096143
FEI/EIN Number 85-0695296
Address: 2800 N 6th Street, ST. AUGUSTINE, FL, 32084, US
Mail Address: 2800 N 6th Street, ST. AUGUSTINE, FL, 32084, US
ZIP code: 32084
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1659991925 2020-04-16 2020-04-16 138 SEA GROVE MAIN ST#840133, SAINT AUGUSTINE, FL, 320807743, US 825 KALLI CREEK LANE, SAINT AUGUSTINE, FL, 32080, US

Contacts

Phone +1 785-292-9234

Authorized person

Name DR. CHRISTINA C STAUBLE
Role OWNER
Phone 7852929234

Taxonomy

Taxonomy Code 103TC0700X - Clinical Psychologist
Is Primary Yes

Agent

Name Role Address
STAUBLE CHRISTINA DR. Agent 2800 N 6th Street, ST. AUGUSTINE, FL, 32084

Manager

Name Role Address
STAUBLE CHRISTINA DR. Manager 2800 N 6th Street, ST. AUGUSTINE, FL, 32084

Authorized Member

Name Role Address
STAUBLE BEAT Authorized Member 2800 N 6th Street, ST. AUGUSTINE, FL, 32084

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000067854 THE SWAN BOOKS PUBLISHING ACTIVE 2023-06-01 2028-12-31 No data 2800 N. 6TH STREET, #740, ST. AUGUSTINE, FL, 32084

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2022-04-04 2800 N 6th Street, #740, ST. AUGUSTINE, FL 32084 No data
CHANGE OF PRINCIPAL ADDRESS 2021-02-15 2800 N 6th Street, #740, ST. AUGUSTINE, FL 32084 No data
REGISTERED AGENT ADDRESS CHANGED 2021-02-15 2800 N 6th Street, #740, ST. AUGUSTINE, FL 32084 No data

Documents

Name Date
ANNUAL REPORT 2024-04-09
ANNUAL REPORT 2023-03-16
ANNUAL REPORT 2022-04-04
ANNUAL REPORT 2021-02-15
Florida Limited Liability 2020-04-03

Date of last update: 01 Feb 2025

Sources: Florida Department of State