| Entity Name: | FORESIGHT MENTAL HEALTH GROUP PLLC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 23 Feb 2022 (3 years ago) |
| Document Number: | M22000002888 |
| FEI/EIN Number |
87-1858885
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1000 G Street, 125, Sacramento, CA, 95814, US |
| Mail Address: | 1000 G Street, 125, Sacramento, CA, 95814, US |
| Place of Formation: | COLORADO |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295401248 | 2021-08-19 | 2023-08-16 | PO BOX 530077, ATLANTA, GA, 303530077, US | 1 ALHAMBRA PLZ STE PH, CORAL GABLES, FL, 331345227, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 510-926-6677 |
Authorized person
| Name | GWENDOLYN MUCINO MARTINEZ |
| Role | SR CREDENTIALING SPECIALIST |
| Phone | 8885888995 |
Taxonomy
| Taxonomy Code | 101Y00000X - Counselor |
| Is Primary | Yes |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Milford Belinda | Manager | 1000 G Street, Sacramento, CA, 95814 |
| C T CORPORATION SYSTEM | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-13 | 1000 G Street, 125, Sacramento, CA 95814 | - |
| CHANGE OF MAILING ADDRESS | 2024-04-13 | 1000 G Street, 125, Sacramento, CA 95814 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-13 |
| ANNUAL REPORT | 2023-03-29 |
| Foreign Limited | 2022-02-23 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
