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NOVEL MIND & WELLNESS CENTER, PLLC

Company Details

Entity Name: NOVEL MIND & WELLNESS CENTER, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 23 Jan 2023 (2 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 13 Jul 2023 (2 years ago)
Document Number: L23000042861
FEI/EIN Number 921682973
Address: 1804 MICCOSUKEE COMMONS DRIVE, STE. 208, TALLAHASSEE, FL, 32308, US
Mail Address: 1804 MICCOSUKEE COMMONS DRIVE, STE. 208, TALLAHASSEE, FL, 32308, US
ZIP code: 32308
County: Leon
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609643071 2023-12-06 2023-12-06 1804 MICCOSUKEE COMMONS DR STE 210, TALLAHASSEE, FL, 323085471, US 1804 MICCOSUKEE COMMONS DR STE 210, TALLAHASSEE, FL, 323085471, US

Contacts

Phone +1 850-597-9732
Fax 8509997591

Authorized person

Name MRS. KELLE MELVIN LOGAN
Role OWNER AND OPERATOR
Phone 8505979732

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Agent

Name Role
REGISTERED AGENTS INC Agent

Authorized Member

Name Role Address
LOGAN KELLE Authorized Member 1804 MICCOSUKEE COMMONS DRIVE, STE. 208, TALLAHASSEE, FL, 32308

Events

Event Type Filed Date Value Description
LC AMENDMENT 2023-07-13 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-08
LC Amendment 2023-07-13
Florida Limited Liability 2023-01-23

Date of last update: 01 Feb 2025

Sources: Florida Department of State