| Entity Name: | LUCIDITY MENTAL HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
LUCIDITY MENTAL HEALTH, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 22 Feb 2021 (4 years ago) |
| Document Number: | L21000085878 |
| FEI/EIN Number |
86-2530384
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 803 Jenks Avenue, Panama City, FL, 32401, US |
| Mail Address: | 803 Jenks Avenue, Panama City, FL, 32401, US |
| ZIP code: | 32401 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184366007 | 2022-04-11 | 2022-04-11 | 747 JENKS AVE STE C, PANAMA CITY, FL, 324012570, US | 747 JENKS AVE STE C, PANAMA CITY, FL, 324012570, US | |||||||||||||||||||
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| Phone | +1 850-215-4060 |
| Fax | 8506959176 |
Authorized person
| Name | LISA MARIE HARRIS |
| Role | OWNER |
| Phone | 8502154060 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1609395110 |
| Name | Role | Address |
|---|---|---|
| Harris Lisa M | APRN | 803 Jenks Ave, Panama City, FL, 32401 |
| HARRIS LISA M | Agent | 319 BONITA AVE, PANAMA CITY, FL, 32401 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000094038 | LUCIDITY WELLNESS GROUP | ACTIVE | 2023-08-11 | 2028-12-31 | - | 803 JENKS AVE, STE 1, PANAMA CITY, FL, 32401 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-04 | 803 Jenks Avenue, STE 1-B, Panama City, FL 32401 | - |
| CHANGE OF MAILING ADDRESS | 2024-02-04 | 803 Jenks Avenue, STE 1-B, Panama City, FL 32401 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-22 | 319 BONITA AVE, PANAMA CITY, FL 32401 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-01-22 |
| ANNUAL REPORT | 2022-01-22 |
| Florida Limited Liability | 2021-02-22 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
