| Entity Name: | MONIQUE MOORE LMHC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 Jun 2024 (8 months ago) |
| Document Number: | L24000275532 |
| Address: | 86155 COURTNEY ISLES WAY, APT 2301, YULEE, FL 32097--353 |
| Mail Address: | PO BOX 655, YULEE, FL 32041 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255175238 | 2024-06-24 | 2024-07-23 | PO BOX 655, YULEE, FL, 320410655, US | 86155 COURTNEY ISLES WAY, YULEE, FL, 320973526, US | |||||||||||||||||||
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| Phone | +1 904-687-7731 |
| Fax | 9048755088 |
Authorized person
| Name | MONIQUE S MOORE |
| Role | MANAGER |
| Phone | 9044687731 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOORE, MONIQUE S | Agent | 86155 COURTNEY ISLES WAY, APT 2301, YULEE, FL 32097--353 |
| Name | Role | Address |
|---|---|---|
| MOORE, MONIQUE | Manager | 86155 COURTNEY ISLES WAY, 2301, YULEE, FL 32097--353 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-06-18 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
