| Entity Name: | MINDFUL MEDICAL AND HEALTH SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Sep 2021 (3 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 14 Aug 2024 (6 months ago) |
| Document Number: | L21000402456 |
| FEI/EIN Number | 87-2577391 |
| Address: | 160 NW CENTRAL PARK PLAZA, PORT SAINT LUCIE, FL, 34986, US |
| Mail Address: | 160 NW CENTRAL PARK PLAZA, PORT SAINT LUCIE, FL, 34986, US |
| ZIP code: | 34986 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720759954 | 2021-09-27 | 2024-06-01 | 160 NW CENTRAL PARK PLZ STE 105, PORT ST LUCIE, FL, 349861825, US | 160 NW CENTRAL PARK PLZ STE 104, PORT ST LUCIE, FL, 349861825, US | |||||||||||||||||||||||||
|
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| Phone | +1 772-497-5985 |
| Fax | 8444401724 |
| Phone | +1 772-361-6778 |
Authorized person
| Name | JUSTIN KALEL BAKSH |
| Role | CEO |
| Phone | 7726176373 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| FLYNN LISA | Agent | 160 NW CENTRAL PARK PLAZA, PORT SAINT LUCIE, FL, 34986 |
| Name | Role | Address |
|---|---|---|
| BAKSH JUSTIN | Manager | 160 NW CENTRAL PARK PLAZA, PORT SAINT LUCIE, FL, 34986 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000048493 | DEPRESSION SPECIALISTS OF THE TREASURE COAST | ACTIVE | 2024-04-10 | 2029-12-31 | No data | 160 NW CENTRAL PARK PLAZA, SUITE 105, PORT SAINT LUCIE, FL, 34986 |
| G23000155482 | IMIND MENTAL HEALTH URGENT CARE | ACTIVE | 2023-12-21 | 2028-12-31 | No data | 160 NW CENTRAL PARK PLAZA, SUITE 104, PORT SAINT LUCIE, FL, 34986 |
| G22000142489 | IMIND TMS | ACTIVE | 2022-11-16 | 2027-12-31 | No data | 160 NW CENTRAL PARK PLAZA, SUITE 104, PORT SAINT LUCIE, FL, 34986 |
| G22000142592 | IMIND SPRAVATO | ACTIVE | 2022-11-16 | 2027-12-31 | No data | 160 NW CENTRAL PARK PLAZA, SUITE 104, PORT ST. LUCIE, FL, 34986 |
| G22000058374 | IMIND MENTAL HEALTH SOLUTIONS | ACTIVE | 2022-05-09 | 2027-12-31 | No data | 160 NW CENTRAL PARK PLAZA, SUITE 104, PORT SAINT LUCIE, FL, 34986 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-08-14 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-04 | 160 NW CENTRAL PARK PLAZA, SUITE 104 & 105, PORT SAINT LUCIE, FL 34986 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-04 | 160 NW CENTRAL PARK PLAZA, SUITE 104 & 105, PORT SAINT LUCIE, FL 34986 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-04 | 160 NW CENTRAL PARK PLAZA, SUITE 104 & 105, PORT SAINT LUCIE, FL 34986 | No data |
| LC AMENDMENT | 2021-11-01 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-10-04 | FLYNN, LISA | No data |
| LC STMNT OF RA/RO CHG | 2021-10-04 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-08-14 |
| ANNUAL REPORT | 2024-01-04 |
| ANNUAL REPORT | 2023-01-03 |
| ANNUAL REPORT | 2022-03-17 |
| LC Amendment | 2021-11-01 |
| CORLCRACHG | 2021-10-04 |
| Florida Limited Liability | 2021-09-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
