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BEAMING MIND PSYCHOLOGY LLC

Company Details

Entity Name: BEAMING MIND PSYCHOLOGY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 Sep 2023 (a year ago)
Document Number: L23000445795
FEI/EIN Number 93-3644830
Address: 1101 S TAMIAMI, VENICE, FL, 34285, US
Mail Address: 1101 S TAMIAMI, VENICE, FL, 34285, US
ZIP code: 34285
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285406066 2023-10-25 2024-01-02 14370 59TH CIR E, BRADENTON, FL, 342110740, US 1101 TAMIAMI TRL S STE 215A-1, VENICE, FL, 342854133, US

Contacts

Phone +1 941-842-3837

Authorized person

Name DR. VERONICA PATRICIA MEDINA
Role OWNER
Phone 4844084646

Taxonomy

Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
Is Primary No
Taxonomy Code 261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary Yes

Agent

Name Role Address
NICHOLAS J. BORIS, CPA, PA Agent 5602 MARQUESAS CIR, SARASOTA, FL, 34233

Authorized Member

Name Role Address
MEDINA VERONICA Authorized Member 14370 59TH CIRCLE E, BRADENTON, FL, 34211

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-01 1101 S TAMIAMI, STE 215A-1, VENICE, FL 34285 No data
CHANGE OF MAILING ADDRESS 2024-03-01 1101 S TAMIAMI, STE 215A-1, VENICE, FL 34285 No data

Documents

Name Date
ANNUAL REPORT 2024-03-01
Florida Limited Liability 2023-09-26

Date of last update: 02 Feb 2025

Sources: Florida Department of State