| Entity Name: | INNER DISCOVERY MENTAL HEALTH SERVICES, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
INNER DISCOVERY MENTAL HEALTH SERVICES, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 24 Apr 2023 (2 years ago) |
| Document Number: | L23000199999 |
| FEI/EIN Number |
93-1710219
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4474 WESTON RD, #1097, DAVIE, FL, 33331, UN |
| Mail Address: | 4474 WESTON RD, #1097, DAVIE, FL, 33331, UN |
| ZIP code: | 33331 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952086928 | 2023-06-19 | 2023-06-19 | 4474 WESTON RD # 1097, DAVIE, FL, 333313195, US | 4848 GRAPEVINE WAY, DAVIE, FL, 333313358, US | |||||||||||||||||||||
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| Phone | +1 754-333-1765 |
| Phone | +1 786-499-2926 |
Authorized person
| Name | CAROLINA KAACK |
| Role | CEO/ PSYCHIATRIC NURSE PRACTITIONER |
| Phone | 7864992926 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1295253870 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Kaack Carolina | Chief Executive Officer | 4474 Weston Rd, Davie, FL, 33331 |
| KAACK CAROLINA | Agent | 4474 WESTON RD, DAVIE, FL, 33331 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-19 |
| Florida Limited Liability | 2023-04-24 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
