| Entity Name: | UPLIFT MENTAL WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Apr 2023 (2 years ago) |
| Document Number: | L23000179612 |
| FEI/EIN Number | 92-3531310 |
| Address: | 5429 UNIVERSITY PKWY, #1083, UNIVERSITY PARK, FL 34201 |
| Mail Address: | 5429 UNIVERSITY PKWY, #1083, UNIVERSITY PARK, FL 34201 |
| ZIP code: | 34201 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689362915 | 2023-04-25 | 2023-06-07 | 5429 UNIVERSITY PKWY # 1083, UNIVERSITY PARK, FL, 342012012, US | 333 TAMIAMI TRAIL S SUITE 288, VENICE, FL, 34285, US | |||||||||||||||
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| Phone | +1 941-541-2297 |
| Fax | 9412004539 |
Authorized person
| Name | CAROLYN HARKNESS |
| Role | OWNER |
| Phone | 3049215324 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HARKNESS, CAROLYN M | Agent | 5429 UNIVERSITY PKWY, #1083, UNIVERSITY PARK, FL 34201 |
| Name | Role | Address |
|---|---|---|
| HARKNESS, CAROLYN M | Authorized Person | 5429 UNIVERSITY PKWY #1083, UNIVERSITY PARK, FL 34201 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| Florida Limited Liability | 2023-04-11 |
Date of last update: 10 Jan 2025
Sources: Florida Department of State
