| Entity Name: | CENTERED MIND HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Jun 2023 (2 years ago) |
| Document Number: | L23000269822 |
| FEI/EIN Number | 934384669 |
| Mail Address: | 4630 S Kirkman Rd, ORLANDO, FL, 32811, US |
| Address: | 2054 Classique Ln, Tavares, FL, 32778, US |
| ZIP code: | 32778 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417725185 | 2023-12-12 | 2023-12-12 | 4630 S KIRKMAN RD STE 111, ORLANDO, FL, 328112833, US | 2054 CLASSIQUE LN, TAVARES, FL, 327785787, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 407-913-4974 |
Authorized person
| Name | SUSAN WAMBUI GRAY |
| Role | CEO |
| Phone | 7709128905 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GRAY SUSAN W | Agent | 4630 S Kirkman Rd, ORLANDO, FL, 32811 |
| Name | Role | Address |
|---|---|---|
| GRAY SUSAN W | Manager | 4630 S Kirkman Rd, ORLANDO, FL, 32811 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-02-06 | 4630 S Kirkman Rd, Suite 111, ORLANDO, FL 32811 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-06 | 4630 S Kirkman Rd, Suite 111, ORLANDO, FL 32811 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-12-05 | 4630 S Kirkman Rd, Suite 111, ORLANDO, FL 32811 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| Florida Limited Liability | 2023-06-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
