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 |
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 | |||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
ADAMSON JASMIN | Agent | 11512 LAKE MEAD AVE, JACKSONVILLE, FL, 32256 |
Name | Role | Address |
---|---|---|
WILSON BRITTANY | Manager | 950 BLANDING BLVD ST 23-265, ORANGE PARK, FL, 32065 |
Name | Date |
---|---|
Florida Limited Liability | 2024-03-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State