| Entity Name: | CIRCLE OF LIFE MENTAL HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Dec 2023 (a year ago) |
| Document Number: | L23000537205 |
| FEI/EIN Number | N/A |
| Address: | 7901 4TH ST N, STE 300, ST PETERSBURG, FL 33702 UN |
| Mail Address: | 7901 4TH ST N., STE 300, ST PETERSBURG, FL 33702 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356117345 | 2023-11-30 | 2024-01-17 | 7901 4TH ST N STE 300, ST PETERSBURG, FL, 337024399, US | 7901 4TH ST N STE 300, ST PETERSBURG, FL, 337024399, US | |||||||||||||||||
|
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| Phone | +1 313-759-0019 |
Authorized person
| Name | ALEXIS GOSS |
| Role | OWNER |
| Phone | 3137590019 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ROBERTS, DAVID | Agent | 7901 4TH ST N, STE 300, ST PETERSBURG, FL 33702 |
| Name | Role | Address |
|---|---|---|
| GOSS, ALEXIS C | Manager | 7901 4TH ST N, STE 300 ST PETERSBURG, FL 33702 UN |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2025-04-01 | 7901 4TH ST N, STE 300, ST PETERSBURG, FL 33702 UN | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-01 | 7901 4TH ST N, STE 300, ST PETERSBURG, FL 33702 UN | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-23 | 7901 4TH ST N, STE 300, ST PETERSBURG, FL 33702 UN | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-23 |
| Florida Limited Liability | 2023-12-04 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
