| Entity Name: | MINDFULNESS EXPRESSIONS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Aug 2021 (4 years ago) |
| Document Number: | L21000349450 |
| FEI/EIN Number | 87-1990897 |
| Address: | 7901 4th st n, ste 300, st petersburg, FL, 33702, US |
| Mail Address: | PO BOX 315, BRANDON, FL, 33509, US |
| ZIP code: | 33702 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366116873 | 2021-08-07 | 2023-04-25 | PO BOX 315, BRANDON, FL, 335090315, US | 7901 4TH ST N STE 300, ST PETERSBURG, FL, 337024399, US | |||||||||||||||||||||||||||||||
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| Phone | +1 863-420-5134 |
| Phone | +1 813-389-7518 |
Authorized person
| Name | KIMBERLY HINES |
| Role | OWNER |
| Phone | 8634205134 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 111652900 |
| State | FL |
| Issuer | CLINICAL SOCIAL WORKER |
| Number | 1245824440 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HINES KIMBERLY | Agent | 7901 4th St N, St. Petersburg, FL, 33702 |
| Name | Role | Address |
|---|---|---|
| HINES KIMBERLY | Manager | 7901 4th St N, St. Petersburg, FL, 33702 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-14 | 7901 4th St N, STE 300, St. Petersburg, FL 33702 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-06-15 | 7901 4th st n, ste 300, st petersburg, FL 33702 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-14 |
| ANNUAL REPORT | 2023-02-26 |
| ANNUAL REPORT | 2022-02-07 |
| Florida Limited Liability | 2021-08-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
