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MINDWEALTH INSTITUTE, LLC - Florida Company Profile

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Company Details

Entity Name: MINDWEALTH INSTITUTE, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Inactive
Date Filed: 08 Aug 2017 (8 years ago)
Date of dissolution: 27 Sep 2019 (6 years ago)
Last Event: REVOKED FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (6 years ago)
Document Number: M17000006754
FEI/EIN Number NOT APPLICABLE
Address: 854 Broken Sound Parkway NW #109, Boca Raton, FL, 33487, US
Mail Address: 854 Broken Sound Parkway NW #109, Boca Raton, FL, 33487, US
ZIP code: 33487
City: Boca Raton
County: Palm Beach
Place of Formation: DELAWARE

Key Officers & Management

Name Role Address
STEPHAN ELIZABETH Authorized Member 854 Broken Sound Parkway NW #109, Boca Raton, FL, 33487
Stephan Rick Authorized Member 854 Broken Sound Parkway NW #109, Boca Raton, FL, 33487
STEPHAN ELIZABETH Agent 854 Broken Sound Parkway NW #109, Boca Raton, FL, 33487

National Provider Identifier

NPI Number:
1982120325

Authorized Person:

Name:
DR. RICK STEPHAN
Role:
NEUROPSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
103TR0400X - Rehabilitation Psychologist
Is Primary:
No
Selected Taxonomy:
103TA0400X - Addiction (Substance Use Disorder) Psychologist
Is Primary:
No
Selected Taxonomy:
103TA0700X - Adult Development & Aging Psychologist
Is Primary:
No
Selected Taxonomy:
103TB0200X - Cognitive & Behavioral Psychologist
Is Primary:
No
Selected Taxonomy:
103TF0200X - Forensic Psychologist
Is Primary:
No

Contacts:

Events

Event Type Filed Date Value Description
REVOKED FOR ANNUAL REPORT 2019-09-27 - -
CHANGE OF PRINCIPAL ADDRESS 2018-03-12 854 Broken Sound Parkway NW #109, Boca Raton, FL 33487 -
CHANGE OF MAILING ADDRESS 2018-03-12 854 Broken Sound Parkway NW #109, Boca Raton, FL 33487 -
REGISTERED AGENT ADDRESS CHANGED 2018-03-12 854 Broken Sound Parkway NW #109, Boca Raton, FL 33487 -

Documents

Name Date
ANNUAL REPORT 2018-03-12
Foreign Limited 2017-08-08

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Date of last update: 02 Aug 2025

Sources: Florida Department of State