| Entity Name: | DIVINE MERCY HEALING & COUNSELING CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Nov 2021 (3 years ago) |
| Document Number: | L21000489732 |
| FEI/EIN Number | 87-3639040 |
| Address: | 14561 SW 18th Ct, Davie, FL, 33325, US |
| Mail Address: | 14561 SW 18th Ct, Davie, FL, 33325, US |
| ZIP code: | 33325 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801541453 | 2022-02-12 | 2022-02-12 | 12535 NEW BRITTANY BLVD STE 2811, FORT MYERS, FL, 339073625, US | 12535 NEW BRITTANY BLVD STE 2811, FORT MYERS, FL, 339073625, US | |||||||||||||
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| Phone | +1 239-710-3315 |
Authorized person
| Name | MS. KIMBERLY LUCIA PEREZ |
| Role | LICENSED MENTAL HEALTH COUNSELOR |
| Phone | 2397103315 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Perez Kimberly | Agent | 14561 SW 18th Ct, DAVIE, FL, 33325 |
| Name | Role | Address |
|---|---|---|
| PEREZ KIMBERLY L | Manager | 14561 SW 18th Ct, DAVIE, FL, 33325 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-13 | 14561 SW 18th Ct, Davie, FL 33325 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-13 | 14561 SW 18th Ct, Davie, FL 33325 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-13 | 14561 SW 18th Ct, DAVIE, FL 33325 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-04-29 | Perez, Kimberly | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-13 |
| ANNUAL REPORT | 2023-01-10 |
| AMENDED ANNUAL REPORT | 2022-10-24 |
| ANNUAL REPORT | 2022-04-29 |
| Florida Limited Liability | 2021-11-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
