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 |
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 | |||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
JOHNSON, HEATHER M | Agent | 6928 S WANDERLUST PT, HOMOSASSA, FL 34446 |
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 |
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 |
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 |
Name | Date |
---|---|
Florida Limited Liability | 2024-05-02 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State