Entity Name: | ELEVATED MINDS PSYCHIATRY SERVICES, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 06 Jun 2023 (2 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 25 Sep 2023 (a year ago) |
Document Number: | L23000274113 |
FEI/EIN Number | 932205985 |
Address: | 4750 CAPITAL CIRCLE SE, TALLAHASSEE, FL, 32311, US |
Mail Address: | 4750 CAPITAL CIRCLE SE, TALLAHASSEE, FL, 32311, US |
ZIP code: | 32311 |
County: | Leon |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1033896659 | 2023-07-05 | 2024-07-01 | 4750 CAPITAL CIR SE, TALLAHASSEE, FL, 323117837, US | 4750 CAPITAL CIR SE, TALLAHASSEE, FL, 323117837, US | |||||||||||||||
|
Phone | +1 850-429-4501 |
Fax | 8507891975 |
Authorized person
Name | HEATHER REDENA WARREN |
Role | APRN |
Phone | 8506887217 |
Taxonomy
Taxonomy Code | 2084P0800X - Psychiatry Physician |
Is Primary | Yes |
Name | Role |
---|---|
REGISTERED AGENTS INC | Agent |
Name | Role | Address |
---|---|---|
WARREN HEATHER | Authorized Member | 4750 CAPITAL CIRCLE SE, TALLAHASSEE, FL, 32311 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2023-09-27 | 4750 CAPITAL CIRCLE SE, TALLAHASSEE, FL 32311 | No data |
LC AMENDMENT | 2023-09-25 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2023-09-20 | 4750 CAPITAL CIRCLE SE, TALLAHASSEE, FL 32311 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-11 |
LC Amendment | 2023-09-25 |
Florida Limited Liability | 2023-06-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State