| Entity Name: | MINDFUL HEALTH SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 18 Nov 2019 (5 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | M19000011785 |
| FEI/EIN Number | 843425397 |
| Address: | 160 NW CENTRAL PARK PLAZA, STE 105, PORT SAINT LUCIE, FL, 34986, US |
| Mail Address: | 160 NW CENTRAL PARK PLAZA, STE 105, PORT SAINT LUCIE, FL, 34986, US |
| ZIP code: | 34986 |
| County: | St. Lucie |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619510336 | 2019-10-25 | 2019-10-25 | 160 NW CENTRAL PARK PLZ STE 105, PORT ST LUCIE, FL, 349861825, US | 160 NW CENTRAL PARK PLZ STE 105, PORT ST LUCIE, FL, 349861825, US | |||||||||||||||||||||||||||
|
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| Phone | +1 772-812-6852 |
| Fax | 7724947271 |
Authorized person
| Name | TRAVIS B THAME |
| Role | OWNER |
| Phone | 7728126852 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| Is Primary | Yes |
| Taxonomy Code | 2084P0802X - Addiction Psychiatry Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Flynn Lisa M | Agent | 160 NW CENTRAL PARK PLAZA STE 105, PORT SAINT LUCIE, FL, 34986 |
| Name | Role | Address |
|---|---|---|
| LAFLAMME ARTHUR | Manager | 160 NW CENTRAL PARK PLAZA STE 105, PORT SAINT LUCIE, FL, 34986 |
| Flynn Lisa | Manager | 160 NW Central Park Plaza, Port Saint Lucie, FL, 34986 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-03-09 | Flynn, Lisa M | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-03-09 |
| ANNUAL REPORT | 2020-06-04 |
| Foreign Limited | 2019-11-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
