| Entity Name: | BEE MINDFUL PSYCHIATRY & WELLNESS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Oct 2024 (3 months ago) |
| Document Number: | L24000436579 |
| FEI/EIN Number | 33-1482686 |
| Address: | 235 SW DADE ST, STE B, Madison, FL 32340 |
| Mail Address: | 763 NE LANTANA ST, Lee, FL 32059 |
| ZIP code: | 32340 |
| County: | Madison |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568284230 | 2024-10-24 | 2024-10-24 | 763 NE LANTANA ST, LEE, FL, 320594619, US | 235 SW DADE ST STE B, MADISON, FL, 323402363, US | |||||||||||||||||||
|
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| Phone | +1 850-673-8772 |
| Phone | +1 850-869-1033 |
Authorized person
| Name | KASEY HUGHEY |
| Role | OWNER |
| Phone | 8506738772 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HUGHEY, KASEY T | Agent | 173 NW ORANGE AVE., MADISON, FL 32340 |
| Name | Role | Address |
|---|---|---|
| HUGHEY, KASEY T | Manager | 763 NE LANTANA ST, LEE, FL 32059 UN |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-11-13 | 235 SW DADE ST, STE B, Madison, FL 32340 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-17 | 235 SW DADE ST, STE B, Madison, FL 32340 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-10-11 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State
