| Entity Name: | ELITE WELLNESS MENTAL HEALTH SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 Jul 2022 (3 years ago) |
| Document Number: | L22000326763 |
| FEI/EIN Number | 88-3415622 |
| Address: | 932 E Osceola Pkwy, suit 106, office 104, Kissimme, FL 34744 |
| Mail Address: | 4073 Redbridge Loop, DAVENPORT, FL 33837 |
| ZIP code: | 34744 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154183671 | 2024-01-29 | 2024-01-29 | 932 E OSCEOLA PKWY STE 106, KISSIMMEE, FL, 347441615, US | 932 E OSCEOLA PKWY STE 106, KISSIMMEE, FL, 347441615, US | |||||||||||||
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| Phone | +1 689-296-7574 |
Authorized person
| Name | KARLA QUIJANO |
| Role | PRESIDENT |
| Phone | 6892967574 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| QUIJANO, KARLA Y | Agent | 932 E Osceola Pkwy, suit 106, office 104, Kissimme, FL 34744 |
| Name | Role | Address |
|---|---|---|
| Quijano, Karla Y | Authorized Member | 4073 Redbridge Loop, DAVENPORT, FL 33837 |
| Name | Role | Address |
|---|---|---|
| Carrasquel, Colberth D | Authorized Person | 4073 Redbridge Loop, DAVENPORT, FL 33837 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-11 | 932 E Osceola Pkwy, suit 106, office 104, Kissimme, FL 34744 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-11 | 932 E Osceola Pkwy, suit 106, office 104, Kissimme, FL 34744 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-11 | 932 E Osceola Pkwy, suit 106, office 104, Kissimme, FL 34744 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-03-01 | QUIJANO, KARLA Y | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-03-01 |
| Florida Limited Liability | 2022-07-25 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
