| Entity Name: | MAYOR MENTAL HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 Feb 2024 (a year ago) |
| Document Number: | L24000086006 |
| FEI/EIN Number | 99-1463547 |
| Address: | 1992 LEWIS TURNER BLVD, SUITE 1126, FORT WALTON BEACH, FL 32547 |
| Mail Address: | 1992 LEWIS TURNER BLVD, SUITE 1126, FORT WALTON BEACH, FL 32547 |
| ZIP code: | 32547 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134985724 | 2024-02-22 | 2024-02-22 | 1992 LEWIS TURNER BLVD STE 1126, FORT WALTON BEACH, FL, 325471255, US | 1992 LEWIS TURNER BLVD STE 1126, FORT WALTON BEACH, FL, 325471255, US | |||||||||||||
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| Phone | +1 850-367-7453 |
Authorized person
| Name | MRS. KELLY MICAELA MAYOR |
| Role | OWNER/THERAPIST |
| Phone | 8507371031 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MAYOR, ROBERT E | Agent | 1992 LEWIS TURNER BLVD, SUITE 1126, FORT WALTON BEACH, FL 32547 |
| Name | Role | Address |
|---|---|---|
| MAYOR, ROBERT E | Authorized Member | 1992 LEWIS TURNER BLVD, SUITE 1126, FORT WALTON BEACH, FL 32547 |
| MAYOR, KELLY M | Authorized Member | 1992 LEWIS TURNER BLVD, SUITE 1126, FORT WALTON BEACH, FL 32547 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-07 |
| Florida Limited Liability | 2024-02-19 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
