| Entity Name: | SAGE MENTAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 16 Nov 2021 (3 years ago) |
| Date of dissolution: | 16 Dec 2023 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 16 Dec 2023 (a year ago) |
| Document Number: | L21000492420 |
| FEI/EIN Number | 87-3719584 |
| Address: | 7901 4th St N, STE 300, St. Petersburg, FL 33702 |
| Mail Address: | P.O. Box 4418, Fort Walton Beach, FL 32549 |
| ZIP code: | 33702 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205588506 | 2022-01-19 | 2022-06-04 | PO BOX 4418, FORT WALTON BEACH, FL, 325494418, US | 7901 4TH ST N STE 300, ST PETERSBURG, FL, 337024399, US | |||||||||||||||
|
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| Phone | +1 850-502-3090 |
| Phone | +1 850-290-7331 |
Authorized person
| Name | AMANDA LILES |
| Role | OWNER |
| Phone | 8505023090 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NORTHWEST REGISTERED AGENT LLC | Agent |
| Name | Role | Address |
|---|---|---|
| Liles, Amanda | Authorized Member | 7901 4th St N STE 300, St. Petersburg, FL 33702 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-12-16 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-11 | 7901 4th St N, STE 300, St. Petersburg, FL 33702 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-11 | 7901 4th St N, STE 300, St. Petersburg, FL 33702 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-11 | 7901 4th St N, STE 300, St. Petersburg, FL 33702 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-12-16 |
| ANNUAL REPORT | 2023-02-11 |
| ANNUAL REPORT | 2022-04-15 |
| Florida Limited Liability | 2021-11-16 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
