| Entity Name: | UNCLOUDED MIND BEHAVIORAL HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Jun 2022 (3 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 30 Sep 2023 (a year ago) |
| Document Number: | L22000287038 |
| FEI/EIN Number | 88-3008275 |
| Address: | 955 East Martin Luther King Junior Drive, Suite E, Tarpon Springs, FL 34689 |
| Mail Address: | 955 East Martin Luther King Junior Drive, suit E, Tarpon Springs, FL 34689 |
| ZIP code: | 34689 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023725520 | 2022-11-03 | 2022-11-03 | PO BOX 958, TARPON SPRINGS, FL, 346880958, US | 850 E LIME ST, TARPON SPRINGS, FL, 346894702, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 727-902-4952 |
Authorized person
| Name | AUNDREA S GUILLAUME-SPONSEL |
| Role | OWNER |
| Phone | 7279024952 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Sponsel, Aundrea S | Agent | 955 East Martin Luther King Junior Drive, Tarpon Springs, FL 34689 |
| Name | Role | Address |
|---|---|---|
| Sponsel, Aundrea | Owner | 955 E Martin Luther king Jr Dr, Suite E, TARPON SPRINGS, FL 34689 |
| Sponsel, Audrea | Owner | 955 East Martin Luther King Junior Drive, suite E Tarpon Springs, FL 34689 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-01 | 955 East Martin Luther King Junior Drive, Suite E, Tarpon Springs, FL 34689 | No data |
| CHANGE OF MAILING ADDRESS | 2024-05-01 | 955 East Martin Luther King Junior Drive, Suite E, Tarpon Springs, FL 34689 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-05-01 | 955 East Martin Luther King Junior Drive, Tarpon Springs, FL 34689 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-09-30 | Sponsel, Aundrea S | No data |
| REINSTATEMENT | 2023-09-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| LC AMENDMENT | 2022-09-07 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| REINSTATEMENT | 2023-09-30 |
| LC Amendment | 2022-09-07 |
| Florida Limited Liability | 2022-06-24 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
