| Entity Name: | MINDFUL PSYCHIATRIC CONSULTANTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Apr 2022 (3 years ago) |
| Document Number: | L22000160794 |
| FEI/EIN Number | 88-1820884 |
| Address: | 12500 NAUTILUS CIRCLE, PALM BEACH GARDENS, FL 33412 |
| Mail Address: | 12500 NAUTILUS CIRCLE, PALM BEACH GARDENS, FL 33412 |
| ZIP code: | 33412 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699451898 | 2023-06-23 | 2023-06-23 | 12500 NAUTILUS CIR, PALM BEACH GARDENS, FL, 334122489, US | 12500 NAUTILUS CIR, PALM BEACH GARDENS, FL, 334122489, US | |||||||||||||
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| Phone | +1 561-389-1426 |
Authorized person
| Name | MICHAEL PRIETO |
| Role | PMHNP |
| Phone | 5613891426 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PRIETO, MICHAEL A | Agent | 12500 NAUTILUS CIRCLE, PALM BEACH GARDENS, FL 33412 |
| Name | Role | Address |
|---|---|---|
| PRIETO, MICHAEL A | Authorized Member | 12500 NAUTILUS CIRCLE, PALM BEACH GARDENS, FL 33412 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-02-13 |
| Florida Limited Liability | 2022-04-04 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
