| Entity Name: | LB MINDFUL WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Feb 2022 (3 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 06 Jul 2022 (3 years ago) |
| Document Number: | L22000037615 |
| FEI/EIN Number | 87-4826656 |
| Address: | 1942 Broadway St., STE 314C, Boulder, CO, 80302, US |
| Mail Address: | 1942 Broadway St., STE 314C, Boulder, CO, 80302, US |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | LB MINDFUL WELLNESS LLC, COLORADO | 20221440726 | COLORADO |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861131583 | 2022-06-01 | 2023-01-30 | 980 N FEDERAL HWY STE 110, BOCA RATON, FL, 334322704, US | 7901 4TH ST N STE 300, SAINT PETERSBURG, FL, 337024399, US | |||||||||||||||||||||
|
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| Phone | +1 303-285-1117 |
| Fax | 7205622940 |
| Phone | +1 561-493-3212 |
Authorized person
| Name | LYSSA BROOKS |
| Role | SOLE-MEMBER |
| Phone | 9546002756 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | No |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| Hamner Becky | Auth | 7901 4th St N STE 300, St. Petersburg, FL, 33702 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-07 | 1942 Broadway St., STE 314C, Boulder, CO 80302 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-07 | 1942 Broadway St., STE 314C, Boulder, CO 80302 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-07 | 7901 4th St N, STE 300, St. Petersburg, FL 33702 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-02-07 | Registered Agents Inc | No data |
| LC AMENDMENT | 2022-07-06 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-02-07 |
| LC Amendment | 2022-07-06 |
| Florida Limited Liability | 2022-02-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
