| Entity Name: | METAMORPHOSIS PSYCHCIERGE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 15 Jul 2022 (3 years ago) |
| Document Number: | L22000315417 |
| FEI/EIN Number | 88-3456958 |
| Address: | 401 E LAS OLAS BLVD, SUITE 1400, FORT LAUDERDALE, FL 33301 |
| Mail Address: | 401 E LAS OLAS BLVD, SUITE 1400, FORT LAUDERDALE, FL 33301 |
| ZIP code: | 33301 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528794807 | 2022-07-28 | 2022-07-28 | 4920 SHALIMAR LN APT 4109, DAVIE, FL, 333287171, US | 401 E LAS OLAS BLVD STE 1400, FORT LAUDERDALE, FL, 333012218, US | |||||||||||||
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| Phone | +1 313-949-9467 |
Authorized person
| Name | DR. JASMINE MOORE |
| Role | FOUNDER/CEO |
| Phone | 3139499467 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOORE, JASMINE M | Agent | 4920 SHALIMAR LN, APT 4109, DAVIE, FL 33328 |
| Name | Role | Address |
|---|---|---|
| Moore, Jasmine, Dr. | Chief Executive Officer | 401 E LAS OLAS BLVD, SUITE 1400 FORT LAUDERDALE, FL 33301 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-08-31 | 401 E LAS OLAS BLVD, SUITE 1400, FORT LAUDERDALE, FL 33301 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-07-28 | 401 E LAS OLAS BLVD, SUITE 1400, FORT LAUDERDALE, FL 33301 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-01-20 |
| Florida Limited Liability | 2022-07-15 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
