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INSIGHT PSYCHIATRY & COUNSELING, LLC

Company Details

Entity Name: INSIGHT PSYCHIATRY & COUNSELING, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 25 Mar 2024 (10 months ago)
Document Number: L24000142674
Address: 11512 LAKE MEAD AVE, 405, JACKSONVILLE, FL, 32256
Mail Address: 946 MYSTIC HARBOR DRIVE, JACKSONVILLE, FL, 32225
ZIP code: 32256
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174366363 2024-06-14 2024-06-14 11512 LAKE MEAD AVE UNIT 405, JACKSONVILLE, FL, 322569687, US 11512 LAKE MEAD AVE UNIT 405, JACKSONVILLE, FL, 322569687, US

Contacts

Phone +1 904-348-0061

Authorized person

Name BRITTANY WILSON
Role OWNER
Phone 9043480061

Taxonomy

Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
Is Primary Yes

Agent

Name Role Address
ADAMSON JASMIN Agent 11512 LAKE MEAD AVE, JACKSONVILLE, FL, 32256

Manager

Name Role Address
WILSON BRITTANY Manager 950 BLANDING BLVD ST 23-265, ORANGE PARK, FL, 32065

Documents

Name Date
Florida Limited Liability 2024-03-25

Date of last update: 01 Feb 2025

Sources: Florida Department of State