| Entity Name: | MINDFUL PSYCHIATRIC SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Feb 2024 (a year ago) |
| Document Number: | L24000103157 |
| Address: | 8051 N. TAMIAMI TRAIL STE E6, SARASOTA, FL 34243 |
| Mail Address: | 8051 N. TAMIAMI TRAIL STE E6, SARASOTA, FL 34243 |
| ZIP code: | 34243 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073378089 | 2024-02-19 | 2024-05-21 | 8051 N TAMIAMI TRL STE E6, SARASOTA, FL, 342432067, US | 8051 N TAMIAMI TRL STE E6, SARASOTA, FL, 342432067, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 850-543-3525 |
Authorized person
| Name | CHELESIA BURKES-BROWN |
| Role | PMHNP |
| Phone | 8505433525 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CINDYS FLORIDA LLC | Agent | 8051 N. TAMIAMI TRAIL STE E6, SARASOTA, FL 34243 |
| Name | Role | Address |
|---|---|---|
| PIERCE, ANDREW | Authorized Representative | 8051 N. TAMIAMI TRAIL STE E6, SARASOTA, FL 34243 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-02-28 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
