| Entity Name: | PRESTIGIOUS MENTAL WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 May 2023 (2 years ago) |
| Document Number: | L23000225589 |
| FEI/EIN Number | 923922191 |
| Address: | 1021 Ives Dairy Road, Miami, FL, 33179, US |
| Mail Address: | 1021 Ives Dairy Road, Miami, FL, 33179, US |
| ZIP code: | 33179 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346087723 | 2024-07-11 | 2024-07-11 | PO BOX 5155, HIALEAH, FL, 330141155, US | 1021 IVES DAIRY RD STE 216, MIAMI, FL, 331792537, US | |||||||||||||||||||||
|
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| Phone | +1 305-766-4064 |
Authorized person
| Name | JESENIA VALDES |
| Role | OWNER |
| Phone | 3057664064 |
Taxonomy
| Taxonomy Code | 103TH0100X - Health Service Psychologist |
| Is Primary | Yes |
| Taxonomy Code | 103TM1800X - Intellectual & Developmental Disabilities Psychologist |
| Is Primary | No |
| Taxonomy Code | 103TP0016X - Prescribing (Medical) Psychologist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| VALDES JESENIA | Agent | 21316 NW 40TH CIR CT, MIAMI GARDENS, FL, U, MIAMI GARDENS, FL, 33055 |
| Name | Role | Address |
|---|---|---|
| VALDES JESENIA | Manager | 21316 NW 40TH CIRCLE CT, MIAMI GARDENS, FL, 33055 |
| Name | Role | Address |
|---|---|---|
| VALDES JESENIA | President | 21316 NORTHWEST 40TH CIRCLE COURT, MIAMI GARDENS, FL, 33055 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-06-27 | 1021 Ives Dairy Road, Suite 216, Miami, FL 33179 | No data |
| CHANGE OF MAILING ADDRESS | 2023-06-27 | 1021 Ives Dairy Road, Suite 216, Miami, FL 33179 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000264240 | ACTIVE | 2024-014783-SP-05 | COUNTY COURT IN MIAMI-DADE | 2024-05-06 | 2029-05-07 | $7,322.00 | MD STAFFING SOLUTIONS, LLC, 1815 PURDY AVE, MIAMI BEACH, FL 33139 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| Florida Limited Liability | 2023-05-08 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
