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HEALTH AND HEALING MENTAL HEALTH CENTER LLC

Company Details

Entity Name: HEALTH AND HEALING MENTAL HEALTH CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 20 Jun 2022 (3 years ago)
Document Number: L22000278489
FEI/EIN Number 92-0528843
Address: 1599 SE Lennard Rd, PORT ST LUCIE, FL 34952
Mail Address: 1599 SE Lennard Rd, PORT ST LUCIE, FL 34952
ZIP code: 34952
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619688314 2022-12-13 2022-12-13 1599 SE LENNARD RD, PORT ST LUCIE, FL, 349526542, US 1599 SE LENNARD RD, PORT ST LUCIE, FL, 349526542, US

Contacts

Phone +1 772-323-0762

Authorized person

Name MARLENE EGUSQUIZA
Role PSYCHOLOGIST
Phone 7862105277

Taxonomy

Taxonomy Code 103T00000X - Psychologist
Is Primary Yes

Agent

Name Role Address
EGUSQUIZA, MARLENE Agent 1599 SE Lennard Rd, PORT ST LUCIE, FL 34952

Manager

Name Role Address
EGUSQUIZA, MARLENE Manager 2586 SE APPLYBY ST, PORT ST LUCIE, FL 34984

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-23 1599 SE Lennard Rd, PORT ST LUCIE, FL 34952 No data
CHANGE OF MAILING ADDRESS 2023-01-23 1599 SE Lennard Rd, PORT ST LUCIE, FL 34952 No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-23 1599 SE Lennard Rd, PORT ST LUCIE, FL 34952 No data

Documents

Name Date
ANNUAL REPORT 2024-02-10
ANNUAL REPORT 2023-01-23
Florida Limited Liability 2022-06-20

Date of last update: 11 Feb 2025

Sources: Florida Department of State