| Entity Name: | MINDS IN BLOOM COUNSELING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 31 Jan 2023 (2 years ago) |
| Document Number: | L23000056556 |
| FEI/EIN Number | 92-2150591 |
| Address: | 1911 SW 87 AVE, MIAMI, FL 33165 |
| Mail Address: | 1911 SW 87 AVE, MIAMI, FL 33165 |
| ZIP code: | 33165 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881390383 | 2023-02-06 | 2023-02-06 | 1911 SW 87TH AVE, MIAMI, FL, 331658260, US | 1911 SW 87TH AVE, MIAMI, FL, 331658260, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 786-759-9461 |
Authorized person
| Name | MS. ALISSA RODRIGUEZ |
| Role | AP |
| Phone | 7867599461 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, ALISSA D | Agent | 1911 SW 87 AVE, MIAMI, FL 33165 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, ALISSA D | Authorized Representative | 1911 SW 87 AVE, MIAMI, FL 33165 |
| Name | Role | Address |
|---|---|---|
| LEMUS, TAYLOR | Manager | 1911 SW 87 AVE, MIAMI, FL 33165 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-21 |
| Florida Limited Liability | 2023-01-31 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
