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OWIMAST HEALTH, LLC

Company Details

Entity Name: OWIMAST HEALTH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 04 Jan 2022 (3 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 16 Apr 2024 (10 months ago)
Document Number: L22000011452
FEI/EIN Number 87-4387217
Address: 10245 centurion pkwy n, suite 250, jacksonville, FL 32256
Mail Address: 1187 CULLIGAN LANE, JEROME ABRAMS, MENDOTA HEIGHTS, MN 55118
ZIP code: 32256
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1417609645 2022-01-19 2024-09-25 10245 CENTURION PKWY N STE 250, JACKSONVILLE, FL, 322560561, US 10245 CENTURION PKWY N STE 250, JACKSONVILLE, FL, 322560561, US

Contacts

Phone +1 904-674-3521

Authorized person

Name ERIN PASH
Role OWNER
Phone 9046743521

Taxonomy

Taxonomy Code 106H00000X - Marriage & Family Therapist
Is Primary Yes

Agent

Name Role
URS AGENTS, LLC Agent

Authorized Member

Name Role Address
CRNOBRNA, BRADLEY Authorized Member 1858 ORCHARD HILL, MENDOTA HEIGHTS 55118 UN

Manager

Name Role Address
ABRAMS, JEROME Manager 1187 CULLIGAN LANE, MENDOTA HEIGHTS 29910 UN

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000125808 ELLIE MENTAL HEALTH ACTIVE 2023-10-11 2028-12-31 No data 1187 CULLIGAN LANE, MENDOTA HEIGHTS, MN, 55118
G22000009742 ELLIE MENTAL HEALTH ACTIVE 2022-01-15 2027-12-31 No data 210 RUDDER RUN, BLUFFTON, SC, 29910

Events

Event Type Filed Date Value Description
LC STMNT OF RA/RO CHG 2024-04-16 No data No data
REGISTERED AGENT NAME CHANGED 2024-04-16 URS AGENTS, LLC No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-16 3458 LAKESHORE DRIVE, TALLAHASSEE, FL 32312 No data
LC AMENDMENT 2023-10-11 No data No data
CHANGE OF PRINCIPAL ADDRESS 2023-10-11 10245 centurion pkwy n, suite 250, jacksonville, FL 32256 No data
CHANGE OF MAILING ADDRESS 2023-10-11 10245 centurion pkwy n, suite 250, jacksonville, FL 32256 No data

Documents

Name Date
CORLCRACHG 2024-04-16
ANNUAL REPORT 2024-04-09
LC Amendment 2023-10-11
ANNUAL REPORT 2023-02-18
Florida Limited Liability 2022-01-04

Date of last update: 13 Jan 2025

Sources: Florida Department of State