| Entity Name: | HEALING HEART BEHAVIORAL CONSULTATION L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Mar 2024 (a year ago) |
| Document Number: | L24000116803 |
| Address: | 155 BARTRAM MARKET DR., 135 PMB 189, SAINT JOHNS, FL, 32259, US |
| Mail Address: | 155 BARTRAM MARKET DR., 135 PMB 189, SAINT JOHNS, FL, 32259, US |
| ZIP code: | 32259 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538904933 | 2024-06-27 | 2024-06-27 | 155 BARTRAM MARKET DR STE 135, SAINT JOHNS, FL, 322594583, US | 155 BARTRAM MARKET DR STE 135, SAINT JOHNS, FL, 322594583, US | |||||||||||||
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| Phone | +1 904-257-6327 |
Authorized person
| Name | SHICARA IRVIN |
| Role | OWNER/CEO |
| Phone | 9042576327 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| IRVIN SHICARA | Agent | 155 BARTRAM MARKET DR., SAINT JOHNS, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| IRVIN SHICARA | Authorized Member | 14337 GARDEN GATE DRIVE, JACKSONVILLE, FL, 32258 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-03-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
