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RESILIENT MIND MENTAL HEALTH & BEHAVIORAL CARE LLC - Florida Company Profile

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Company Details

Entity Name: RESILIENT MIND MENTAL HEALTH & BEHAVIORAL CARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 24 Aug 2023 (2 years ago)
Document Number: L23000398164
FEI/EIN Number 93-3116414
Address: 16009 St Clair St, Clermont, FL, 34714, US
Mail Address: 16009 St Clair St, Clermont, FL, 34714, US
ZIP code: 34714
City: Clermont
County: Lake
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MEDINA SONIA Authorized Member 16009 St Clair St, Clermont, FL, 34714
Figueroa Eddie Manager 16009 St Clair St, Clermont, FL, 34714
Medina Sonia MAMBR Agent 16009 St Clair St, Clermont, FL, 34714

National Provider Identifier

NPI Number:
1558118935
Certification Date:
2024-05-02

Authorized Person:

Name:
MR. EDDIE FIGUEROA
Role:
VICE-PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000054875 RESILIENT MIND ACTIVE 2024-04-24 2029-12-31 - 16009 ST CLAIR ST, CLERMONT, FL, 34714

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-24 16009 St Clair St, Clermont, FL 34714 -
CHANGE OF MAILING ADDRESS 2024-04-24 16009 St Clair St, Clermont, FL 34714 -
REGISTERED AGENT NAME CHANGED 2024-04-24 Medina, Sonia M, AMBR -
REGISTERED AGENT ADDRESS CHANGED 2024-04-24 16009 St Clair St, Clermont, FL 34714 -

Documents

Name Date
ANNUAL REPORT 2024-04-24
Florida Limited Liability 2023-08-24

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Date of last update: 02 Jul 2025

Sources: Florida Department of State