Entity Name: | COWICK MENTAL HEALTH SERVICES, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 26 Oct 2021 (3 years ago) |
Document Number: | L21000465090 |
FEI/EIN Number | 87-3845145 |
Address: | 273 TECUMSEH LN, MARY ESTHER, FL 32569 |
Mail Address: | 273 TECUMSEH LN, MARY ESTHER, FL 32569 |
ZIP code: | 32569 |
County: | Okaloosa |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1417609850 | 2022-01-26 | 2022-01-26 | 273 TECUMSEH LN, MARY ESTHER, FL, 325692222, US | 273 TECUMSEH LN, MARY ESTHER, FL, 325692222, US | |||||||||||||
|
Phone | +1 214-995-7074 |
Authorized person
Name | JESSICA KATHRYN COWICK |
Role | OWNER |
Phone | 2149957074 |
Taxonomy
Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
COWICK, JESSICA | Agent | 273 TECUMSEH LN, MARY ESTHER, FL 32569 |
Name | Role | Address |
---|---|---|
COWICK, JESSICA | Authorized Representative | 273 TECUMSEH LN, MARY ESTHER, FL 32569 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-06 |
ANNUAL REPORT | 2023-03-09 |
ANNUAL REPORT | 2022-03-22 |
Florida Limited Liability | 2021-10-26 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State