| Entity Name: | MINDWEALTH INSTITUTE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| 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
Federal Employer Identification (FEI) Number assigned by the IRS. |
| 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 |
| County: | Palm Beach |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1982120325 | 2017-08-17 | 2022-07-21 | 151 SE 3RD AVE SUITE 435, DELRAY BEACH, FL, 33483, US | 151 SE 3RD AVE APT 435, DELRAY BEACH, FL, 334834683, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 202-297-0670 |
Authorized person
| Name | DR. RICK STEPHAN |
| Role | NEUROPSYCHOLOGIST |
| Phone | 2022970670 |
Taxonomy
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| License Number | PY9528 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 103TA0400X - Addiction (Substance Use Disorder) Psychologist |
| License Number | PY9528 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TA0700X - Adult Development & Aging Psychologist |
| License Number | PY9528 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TB0200X - Cognitive & Behavioral Psychologist |
| License Number | PY9528 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TF0200X - Forensic Psychologist |
| License Number | PY9528 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TH0004X - Health Psychologist |
| License Number | PY9528 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TR0400X - Rehabilitation Psychologist |
| License Number | PY9528 |
| State | FL |
| Is Primary | No |
| 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 |
| 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 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-03-12 |
| Foreign Limited | 2017-08-08 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
