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RENEWED MIND - MENTAL HEALTH LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
GOLDING, TOUSSAINT Agent 130 SOUTH INDIAN RIVER DRIVE, SUITE 202 - #3425, FORT PIERCE, FL 34950

Authorized Member

Name Role Address
GOLDING, TOUSSAINT Authorized Member 130 SOUTH INDIAN RIVER DR SUITE 202 #3425, FORT PIERCE, FL 34950

Documents

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