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COWICK MENTAL HEALTH SERVICES, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
COWICK, JESSICA Agent 273 TECUMSEH LN, MARY ESTHER, FL 32569

Authorized Representative

Name Role Address
COWICK, JESSICA Authorized Representative 273 TECUMSEH LN, MARY ESTHER, FL 32569

Documents

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