| Entity Name: | INCLUSIVE MENTAL HEALTHCARE SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Oct 2023 (a year ago) |
| Document Number: | L23000493017 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 3333 HUNT CLUB DR, CLEARWATER, FL, 33761 |
| Mail Address: | 3333 HUNT CLUB DR, CLEARWATER, FL, 33761 |
| ZIP code: | 33761 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043083330 | 2023-10-30 | 2023-10-30 | 3333 HUNT CLUB DR, CLEARWATER, FL, 337611707, US | 3333 HUNT CLUB DR, CLEARWATER, FL, 337611707, US | |||||||||||||
|
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| Phone | +1 727-637-5880 |
Authorized person
| Name | ELIZABETH TITA |
| Role | PMHNP |
| Phone | 7276375880 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TITA ELIZABETH PMHNP | Agent | 3333 HUNT CLUB DR, CLEARWATER, FL, 33761 |
| Name | Role | Address |
|---|---|---|
| TITA ELIZABETH PMHNP | Manager | 3333 HUNT CLUB DR, CLEARWATER, FL, 33761 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| Florida Limited Liability | 2023-10-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
