| Entity Name: | MINDSOL WELLNESS CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 15 Oct 2024 (4 months ago) |
| Document Number: | L24000439459 |
| Address: | 715 N. WASHINGTON BLVD., SUITE E, SARASOTA, FL 34236 |
| Mail Address: | 715 N. WASHINGTON BLVD., SUITE E, SARASOTA, FL 34236 |
| ZIP code: | 34236 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255154084 | 2024-10-31 | 2024-10-31 | 715 N WASHINGTON BLVD STE E, SARASOTA, FL, 342364256, US | 715 N WASHINGTON BLVD STE E, SARASOTA, FL, 342364256, US | |||||||||||||||||||||
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| Phone | +1 941-256-3725 |
Authorized person
| Name | DR. KIMBERLY S BENSON |
| Role | OWNER/CLINICAL DIRECTOR |
| Phone | 9413437244 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
| Name | Role |
|---|---|
| SIESTA ADDICTIONS SPECIALISTS, LLC | Agent |
| Name | Role |
|---|---|
| SIESTA ADDICTIONS SPECIALISTS, LLC | Manager |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-10-15 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State
