| Entity Name: | PRIDE MENTAL HEALTH CARE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 15 Mar 2022 (3 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 15 Jan 2025 (a month ago) |
| Document Number: | L22000129729 |
| FEI/EIN Number | 88-1518813 |
| Address: | 3606 ENTERPRISE AVE, STE 200, NAPLES, FL 34104 |
| Mail Address: | 3606 ENTERPRISE AVE, STE 200, NAPLES, FL 34104 |
| ZIP code: | 34104 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528708138 | 2022-03-31 | 2022-03-31 | 3606 ENTERPRISE AVE STE 200, NAPLES, FL, 341043670, US | 3606 ENTERPRISE AVE STE 200, NAPLES, FL, 341043670, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 239-307-2400 |
| Fax | 2397349968 |
Authorized person
| Name | NICOLE ANN MILLICH |
| Role | OWNER |
| Phone | 2397784405 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | No |
| Name | Role |
|---|---|
| LEGALINC CORPORATE SERVICES INC. | Agent |
| Name | Role | Address |
|---|---|---|
| MILLICH, NICOLE A | Authorized Member | 5400 TALLOWOOD WAY, NAPLES, FL 34116 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT OF RA/RO CHG | 2025-01-15 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2025-01-15 | LEGALINC CORPORATE SERVICES INC. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-15 | 476 RIVERSIDE AVE, JACKSONVILLE, FL 32202 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-18 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-09 | 3606 ENTERPRISE AVENUE, SUITE 200, NAPLES, FL 34104 | No data |
| CHANGE OF MAILING ADDRESS | 2022-05-09 | 3606 ENTERPRISE AVENUE, SUITE 200, NAPLES, FL 34104 | No data |
| Name | Date |
|---|---|
| CORLCRACHG | 2025-01-15 |
| ANNUAL REPORT | 2024-01-26 |
| ANNUAL REPORT | 2023-03-18 |
| Florida Limited Liability | 2022-03-15 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
