Entity Name: | BREEZY MENTAL HEALTH, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 13 Mar 2024 (a year ago) |
Document Number: | L24000127081 |
FEI/EIN Number | 992045687 |
Address: | 10557 Blossom Lake Drive, Seminole, FL, 33772, US |
Mail Address: | 7901 4TH ST N, #8704, ST. PETERSBURG, FL, 33702, US |
ZIP code: | 33772 |
County: | Pinellas |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1952151391 | 2024-03-26 | 2024-05-16 | 7901 4TH ST N # 8704, ST PETERSBURG, FL, 337024305, US | 10557 BLOSSOM LAKE DR, SEMINOLE, FL, 337727415, US | |||||||||||||||
|
Phone | +1 727-308-3338 |
Fax | 7273083344 |
Authorized person
Name | DAVID NEWBY |
Role | OWNER |
Phone | 7273083338 |
Taxonomy
Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
Is Primary | Yes |
Name | Role |
---|---|
NORTHWEST REGISTERED AGENT LLC | Agent |
Name | Role | Address |
---|---|---|
NEWBY DAVID | Authorized Member | 7901 4TH ST N, #8704, ST. PETERSBURG, FL, 33702 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-05-20 | 10557 Blossom Lake Drive, Seminole, FL 33772 | No data |
CHANGE OF MAILING ADDRESS | 2024-03-22 | 10557 Blossom Lake Drive, Seminole, FL 33772 | No data |
Name | Date |
---|---|
Florida Limited Liability | 2024-03-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State