Search icon

MENDING MEE PSYCHIATRY LLC

Company Details

Entity Name: MENDING MEE PSYCHIATRY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 02 May 2024 (9 months ago)
Document Number: L24000206869
FEI/EIN Number 99-2934130
Address: 5973 S SUNCOAST BLVD, HOMOSASSA, FL 34446-2607
Mail Address: 5973 S SUNCOAST BLVD, HOMOSASSA, FL 34446-2607
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154179711 2024-05-08 2024-09-13 6928 S WANDERLUST PT, HOMOSASSA, FL, 344463744, US 5973 S SUNCOAST BLVD, HOMOSASSA, FL, 344462607, US

Contacts

Phone +1 352-699-1424
Fax 9496954902
Fax 3522041611

Authorized person

Name HEATHER MARIE JOHNSON
Role OWNER
Phone 3526991424

Taxonomy

Taxonomy Code 363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
JOHNSON, HEATHER M Agent 6928 S WANDERLUST PT, HOMOSASSA, FL 34446

Authorized Representative

Name Role Address
JOHNSON, HEATHER M Authorized Representative 6928 S WANDERLUST PT, HOMOSASSA, FL 34446 UN
JOHNSON, BILLY M, III Authorized Representative 6928 S WANDERLUST PT, HOMOSASSA, FL 34446 UN

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000060833 MENDING MEE PSYCHIATRY LLC ACTIVE 2024-05-08 2029-12-31 No data 6928 S WANDERLUST PT, HOMOSASSA, FL, 34446

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-07-23 5973 S SUNCOAST BLVD, HOMOSASSA, FL 34446-2607 No data
CHANGE OF MAILING ADDRESS 2024-07-23 5973 S SUNCOAST BLVD, HOMOSASSA, FL 34446-2607 No data

Documents

Name Date
Florida Limited Liability 2024-05-02

Date of last update: 08 Feb 2025

Sources: Florida Department of State