| Entity Name: | CRYSTAL MINDS MENTAL HEALTH, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
CRYSTAL MINDS 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: | 07 Apr 2021 (4 years ago) |
| Document Number: | L21000146831 |
| FEI/EIN Number |
86-3178271
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 8370 W FLAGLER ST, MIAMI, FL, 33144, US |
| Mail Address: | 1315 SW 94TH CT, MIAMI, FL, 33174, US |
| ZIP code: | 33144 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932780590 | 2021-04-15 | 2024-09-04 | 1315 SW 94TH CT, MIAMI, FL, 331743072, US | 8370 W FLAGLER ST STE 242, MIAMI, FL, 331442040, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 786-307-1876 |
| Phone | +1 786-321-1600 |
| Fax | 7867447937 |
Authorized person
| Name | ENIO REYES MIRANDA |
| Role | OWNER |
| Phone | 7863211600 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Reyes Miranda Enio | Authorized Member | 1315 Sw 94th Ct, Miami, FL, 33174 |
| CRYSTAL MINDS MENTAL HEALTH, LLC. | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000134466 | CRYSTAL MINDS MEDICAL GROUP | ACTIVE | 2024-11-02 | 2029-12-31 | - | 8370 W FLAGLER ST, SUITE 242, MIAMI, FL, 33144 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-23 | 1315 SW 94TH CT, MIAMI, FL 33174 | - |
| CHANGE OF MAILING ADDRESS | 2022-11-18 | 8370 W FLAGLER ST, 242, MIAMI, FL 33144 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2022-08-01 | 8370 W FLAGLER ST, 242, MIAMI, FL 33144 | - |
| REGISTERED AGENT NAME CHANGED | 2022-08-01 | Crystal Minds Mental Health | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-04-23 |
| AMENDED ANNUAL REPORT | 2022-08-01 |
| ANNUAL REPORT | 2022-03-24 |
| Florida Limited Liability | 2021-04-07 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
