| Entity Name: | OPTIMAL MENTAL HEALTH SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Nov 2023 (a year ago) |
| Document Number: | L23000530329 |
| FEI/EIN Number | 93-4662910 |
| Address: | 301 NW 84TH AVE, 200, PLANTATION, FL 33324 |
| Mail Address: | 301 NW 84TH AVE, 200, PLANTATION, FL 33324 |
| ZIP code: | 33324 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811751225 | 2024-02-07 | 2024-11-02 | 301 NW 84TH AVE STE 200, PLANTATION, FL, 333241807, US | 301 NW 84TH AVE STE 200, PLANTATION, FL, 333241807, US | |||||||||||||||
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| Phone | +1 954-429-5830 |
| Fax | 9544295748 |
Authorized person
| Name | CAILYN CASKEY |
| Role | CLINICAL PSYCHOLOGIST |
| Phone | 9544295830 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CASKEY, CAILYN | Agent | 301 NW 84TH AVE, 200, PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| CASKEY, CAILYN | Authorized Member | 301 NW 84TH AVE, PLANTATION, FL 33324 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-07 |
| ANNUAL REPORT | 2024-01-27 |
| Florida Limited Liability | 2023-11-28 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
