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MINDFUL JOURNEY THERAPY LLC

Company Details

Entity Name: MINDFUL JOURNEY THERAPY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 31 Oct 2022 (2 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 06 Jan 2023 (2 years ago)
Document Number: L22000466498
FEI/EIN Number 92-0848031
Address: 3441 COLONIAL BLVD ste 2, FT. MYERS, FL 33966
Mail Address: 3441 COLONIAL BLVD ste 2, FT. MYERS, FL 33966
ZIP code: 33966
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598473902 2022-11-14 2024-04-08 3441 COLONIAL BLVD STE 2&3, FORT MYERS, FL, 339661121, US 3441 COLONIAL BLVD STE 2&3, FORT MYERS, FL, 339661121, US

Contacts

Phone +1 941-216-6111
Fax 2392441348
Phone +1 770-366-6898
Fax 2398005145

Authorized person

Name PATRICIA E SULLIVAN
Role OWNER
Phone 7703666898

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role Address
JOHNSTONE, IAIN A Agent 3441 COLONIAL BLVD, FORT MYERS, FL 33966

Managing Member

Name Role Address
SULLIVAN, PATRICIA E Managing Member 12150 SHOREVIEW DR, MATLACHA, FL 33993 UN

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-07-11 3441 COLONIAL BLVD ste 2, FT. MYERS, FL 33966 No data
CHANGE OF MAILING ADDRESS 2023-07-11 3441 COLONIAL BLVD ste 2, FT. MYERS, FL 33966 No data
LC AMENDMENT 2023-01-06 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-02-14
LC Amendment 2023-01-06
Florida Limited Liability 2022-10-31

Date of last update: 11 Jan 2025

Sources: Florida Department of State