| Entity Name: | OPTIMAL MENTAL OUTLOOK LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 May 2024 (9 months ago) |
| Document Number: | L24000228970 |
| Address: | 8058 N 56TH ST, TAMPA, FL 33617 |
| Mail Address: | 5945 NEWBERRY PINES AVE, WESLEY CHAPEL, FL, FL 33545 UN |
| ZIP code: | 33617 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104660067 | 2024-06-24 | 2024-06-24 | 5945 NEWBERRY PINES AVE, WESLEY CHAPEL, FL, 335455294, US | 5945 NEWBERRY PINES AVE, WESLEY CHAPEL, FL, 335455294, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 317-496-8036 |
Authorized person
| Name | JASMINE GRAVES |
| Role | OWNER |
| Phone | 3174968036 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 3104A0625X - Assisted Living Facility (Mental Illness) |
| Is Primary | No |
| Taxonomy Code | 3104A0630X - Assisted Living Facility (Behavioral Disturbances) |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GRAVES, JASMINE A | Agent | 5945 NEWBERRY PINES AVE, WESLEY CHAPEL, FL, FL 33545 |
| Name | Role | Address |
|---|---|---|
| GRAVES, JASMINE A, APRN | Authorized Person | 5945 NEWBERRY PINES AVE, WESLEY CHAPEL, FL, FL 33545 UN |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-05-16 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
