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MIND BODY THERAPY STUDIO, LLC. - Florida Company Profile

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Company Details

Entity Name: MIND BODY THERAPY STUDIO, LLC.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Apr 2024 (a year ago)
Document Number: L24000186406
FEI/EIN Number 33-2400461
Address: 4801 S University Dr, Davie, FL, 33328, US
Mail Address: 4801 S University Dr, Davie, FL, 33328, US
ZIP code: 33328
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Role
Manager
Manager
Agent

National Provider Identifier

NPI Number:
1770390528
Certification Date:
2024-12-18

Authorized Person:

Name:
DR. TATIANA SCHARR
Role:
THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
LC AMENDMENT AND NAME CHANGE 2025-02-10 MIND BODY THERAPY STUDIO, LLC. -
CHANGE OF PRINCIPAL ADDRESS 2025-01-27 4801 S University Dr, Davie, FL 33328 -
CHANGE OF MAILING ADDRESS 2025-01-27 4801 S University Dr, Davie, FL 33328 -

Documents

Name Date
Florida Limited Liability 2024-04-19

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Date of last update: 02 Aug 2025

Sources: Florida Department of State