| Entity Name: | INNER WISDOM MENTAL HEALTH PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Jan 2024 (a year ago) |
| Document Number: | L24000036309 |
| Address: | 18 WALL STREET, ORLANDO, FL, 32801, UN |
| Mail Address: | 18 WALL STREET, ORLANDO, FL, 32801, UN |
| ZIP code: | 32801 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619799251 | 2024-10-25 | 2024-10-25 | 1133 LOUISIANA AVE STE 208, WINTER PARK, FL, 327892350, US | 1133 LOUISIANA AVE STE 208, WINTER PARK, FL, 327892350, US | |||||||||||||
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| Phone | +1 407-934-0056 |
Authorized person
| Name | EMILY BARNETT |
| Role | OWNER |
| Phone | 4079340056 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BARRETT CHAPMAN & RUTA PA | Agent | 18 WALL STREET, ORLANDO, FL, 32801 |
| Name | Role | Address |
|---|---|---|
| BARNETT EMILY C | Authorized Member | 18 WALL STREET, ORLANDO, FL, 32801 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-01-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
