| Entity Name: | MINDEASE BEHAVIORAL HEALTH SYSTEMS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 Jan 2024 (a year ago) |
| Document Number: | L24000040636 |
| Address: | 17931 NW 85 AVE, MIAMI, FL 33015 |
| Mail Address: | 17931 NW 85 AVE, MIAMI, FL 33015 |
| ZIP code: | 33015 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932962701 | 2024-02-02 | 2024-02-02 | 17931 NW 85 AVE, MIAMI, FL, 33015, US | 17931 NW 85 AVE, MIAMI, FL, 33015, US | |||||||||||||||||||||||||
|
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| Phone | +1 305-912-1135 |
Authorized person
| Name | DR. MARITERE FRANCO |
| Role | OWNER |
| Phone | 3059121135 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Taxonomy Code | 133N00000X - Nutritionist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| FRANCO, MARITERE, DR. | Agent | 17931 NW 85 AVE, MIAMI, FL 33015 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ, YADIRA | Manager | 17750 NW 82 AVE, MIAMI, FL 33015 |
| FRANCO, MARITERE, DR. | Manager | 17931 NW 85 AVE, MIAMI, FL 33015 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-01-22 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
