| Entity Name: | BEAUTIFUL MIND PSYCHIATRIC AND ADDICTION SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Feb 2024 (a year ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 11 Jun 2024 (8 months ago) |
| Document Number: | L24000063424 |
| FEI/EIN Number | 99-1331364 |
| Address: | 2393 South Congress Avenue, West Palm Beach, FL 33406 |
| Mail Address: | 2393 South Congress Avenue, West Palm Beach, FL 33406 |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427813625 | 2024-02-16 | 2024-08-24 | 5901 KUMQUAT RD, WEST PALM BEACH, FL, 334131117, US | 2393 S CONGRESS AVE STE 200, WEST PALM BEACH, FL, 334067628, US | |||||||||||||||
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| Phone | +1 561-970-9779 |
| Phone | +1 561-285-7776 |
Authorized person
| Name | MRS. LATONYA D PATTERSON |
| Role | CEO |
| Phone | 5619709779 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PATTERSON, LATONYA D | Agent | 5901 KUMQUAT ROAD, WEST PALM BEACH, FL 33413 |
| Name | Role | Address |
|---|---|---|
| PATTERSON, MELVIN | Authorized Representative | 5901 KUMQUAT ROAD, WEST PALM BEACH, FL 33413 |
| Name | Role | Address |
|---|---|---|
| HICKMAN, JASMINE A | Authorized Member | 5901 KUMQUAT ROAD, WEST PALM BEACH, FL 33413 |
| KING, RECKESHA | Authorized Member | 5901 KUMQUAT RD, WEST PALM BEACH, FL 33413 |
| HICKMAN, TYNESHA | Authorized Member | 5901 KUMQUAT RD, WEST PALM BEACH, FL 33413 |
| Name | Role | Address |
|---|---|---|
| PATTERSON, LATONYA | Manager | 5901 KUMQUAT RD, WEST PALM BEACH, FL 33413 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-23 | 2393 South Congress Avenue, West Palm Beach, FL 33406 | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-23 | 2393 South Congress Avenue, West Palm Beach, FL 33406 | No data |
| LC AMENDMENT | 2024-06-11 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-08 | 2393 South Congress Avenue, suite 200, West Palm Beach, FL 33406 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-23 |
| LC Amendment | 2024-06-11 |
| Florida Limited Liability | 2024-02-05 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
