Entity Name: | RENEWED MIND - MENTAL HEALTH LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 15 May 2023 (2 years ago) |
Document Number: | L23000238280 |
FEI/EIN Number | 93-1374954 |
Address: | 130 SOUTH INDIAN RIVER DRIVE, SUITE 202 - #3425, FORT PIERCE, FL 34950 |
Mail Address: | 130 SOUTH INDIAN RIVER DRIVE, SUITE 202 - #3425, FORT PIERCE, FL 34950 |
ZIP code: | 34950 |
County: | St. Lucie |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1346929668 | 2023-07-13 | 2023-07-13 | 130 S INDIAN RIVER DR STE 202, FORT PIERCE, FL, 349504353, US | 130 S INDIAN RIVER DR STE 202, FORT PIERCE, FL, 349504353, US | |||||||||||||
|
Phone | +1 772-812-0168 |
Authorized person
Name | TOUSSAINT GOLDING |
Role | OWNER OF ENTITY |
Phone | 7728120168 |
Taxonomy
Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
GOLDING, TOUSSAINT | Agent | 130 SOUTH INDIAN RIVER DRIVE, SUITE 202 - #3425, FORT PIERCE, FL 34950 |
Name | Role | Address |
---|---|---|
GOLDING, TOUSSAINT | Authorized Member | 130 SOUTH INDIAN RIVER DR SUITE 202 #3425, FORT PIERCE, FL 34950 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-30 |
Florida Limited Liability | 2023-05-15 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State