| Entity Name: | VIVID MINDS MENTAL CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Jan 2022 (3 years ago) |
| Document Number: | L22000032807 |
| FEI/EIN Number | 87-4717835 |
| Address: | 2222 OCOEE APOPKA RD, SUITE 106, OCOEE, FL, 34761, US |
| Mail Address: | 2222 OCOEE APOPKA RD, SUITE 106, OCOEE, FL, 34761, US |
| ZIP code: | 34761 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467105486 | 2022-01-31 | 2022-01-31 | 2222 OCOEE APOPKA RD STE 106, OCOEE, FL, 347615344, US | 159 HOPEWELL DR, OCOEE, FL, 347614445, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 239-357-1945 |
Authorized person
| Name | DR. MARCELLINE L GIRLIE |
| Role | CEO |
| Phone | 2393571945 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GIRLIE MARCELLINE L | Agent | 2222 OCOEE APOPKA RD, OCOEE, FL, 34761 |
| Name | Role | Address |
|---|---|---|
| GIRLIE MARCELLINE L | Chief Executive Officer | 2222 OCOEE APOPKA RD SUITE 106, OCOEE, FL, 34761 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000012693 | VIVID MINDS NEUROWELLNESS SPA | ACTIVE | 2022-01-31 | 2027-12-31 | No data | 2222 OCOEE APOPKA RD SUITE 106, OCOEE, FL, 34761 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-27 |
| Florida Limited Liability | 2022-01-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
