| Entity Name: | MINDFUL MOSAIC THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Apr 2023 (2 years ago) |
| Document Number: | L23000166653 |
| FEI/EIN Number | 92-3430391 |
| Address: | 246 Casa Sevilla Avenue, St. Augustine, FL 32092 |
| Mail Address: | 246 Casa Sevilla Avenue, St. Augustine, FL 32092 |
| ZIP code: | 32092 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174343511 | 2024-10-11 | 2024-10-11 | 246 CASA SEVILLA AVE, ST AUGUSTINE, FL, 320924720, US | 157 HAMPTON POINT DR STE 1, ST AUGUSTINE, FL, 320923054, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 850-629-8242 |
Authorized person
| Name | JENNIFER AREVALO |
| Role | OWNER/THERAPIST |
| Phone | 8506298242 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role |
|---|---|
| ZENBUSINESS INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Arevalo, Jennifer | Authorized Member | 246 Casa Sevilla Avenue, St. Augustine, FL 32092 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-18 | 246 Casa Sevilla Avenue, St. Augustine, FL 32092 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-18 | 246 Casa Sevilla Avenue, St. Augustine, FL 32092 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-03-18 | ZenBusiness Inc. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-18 | 336 E. College Ave., Suite 301, Tallahassee, FL 32301 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-18 |
| Florida Limited Liability | 2023-04-04 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
