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MENTAL SMILE LLC

Company Details

Entity Name: MENTAL SMILE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 07 Feb 2024 (a year ago)
Document Number: L24000070613
Address: 14966 SW 75TH TERRACE, MIAMI, FL 33193
Mail Address: 14966 SW 75TH TERRACE, MIAMI, FL 33193
ZIP code: 33193
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104657097 2024-08-12 2024-08-12 14966 SW 75TH TER, MIAMI, FL, 331932395, US 14966 SW 75TH TER, MIAMI, FL, 331932395, US

Contacts

Phone +1 786-269-7528

Authorized person

Name MAYELIN CEBALLO
Role OWNER
Phone 7862697528

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role Address
CEBALLO, MAYELIN Agent 14966 SW 75 TERRACE, MIAMI, FL 33193

Manager

Name Role Address
CEBALLO, MAYELIN Manager 14966 SW 75TH TERRACE, MIAMI, FL 33193

Documents

Name Date
Florida Limited Liability 2024-02-07

Date of last update: 08 Feb 2025

Sources: Florida Department of State