| Entity Name: | MENTAL HEALTH EVOLUTION, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Jul 2024 (7 months ago) |
| Document Number: | L24000294303 |
| Address: | 5915 PONCE DE LEON, CORAL GABLES, FL, 33146, US |
| Mail Address: | 5840 SW 86TH STREET, SOUTH MIAMI, FL, 33143, US |
| ZIP code: | 33146 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215767462 | 2024-08-02 | 2024-08-02 | 5840 SW 86TH ST, SOUTH MIAMI, FL, 331438226, US | 5915 PONCE DE LEON BLVD, CORAL GABLES, FL, 331462435, US | |||||||||||||
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| Phone | +1 305-934-6453 |
Authorized person
| Name | DIANA ALMEIDA WALLACE |
| Role | MANAGER |
| Phone | 3059346453 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALMEIDA WALLACE DIANA | Agent | 5840 SW 86TH STREET, SOUTH MIAMI, FL, 33143 |
| Name | Role | Address |
|---|---|---|
| ALMEIDA WALLACE DIANA | Authorized Person | 5840 SW 86TH STREET, SOUTH MIAMI, FL, 33143 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-07-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
