| Entity Name: | VISIONS OF HOPE MENTAL HEALTH SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 Jun 2024 (8 months ago) |
| Document Number: | L24000263705 |
| Address: | 1 SOUTH BLVD E, 0613, DAVENPORT, FL 33837 |
| Mail Address: | 1 SOUTH BLVD E, 0613, DAVENPORT, FL 33837 |
| ZIP code: | 33837 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346075397 | 2024-09-07 | 2024-09-07 | 1 SOUTH BLVD E # 613, DAVENPORT, FL, 338377547, US | 1 SOUTH BLVD E # 613, DAVENPORT, FL, 338377547, US | |||||||||||||
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| Phone | +1 863-288-0566 |
Authorized person
| Name | NADIA C BAKER |
| Role | THERAPIST |
| Phone | 8632880566 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BAKER, NADIA C | Agent | 1 SOUTH BLVD E, 0613, DAVENPORT, FL 33837 |
| Name | Role | Address |
|---|---|---|
| BAKER, NADIA C | LCSW | 832 OFANTO WAY, HAINES CITY, FL 33844 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-06-10 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
