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FORESIGHT MENTAL HEALTH GROUP PLLC, LLC - Florida Company Profile

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Company Details

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)
Branch of: FORESIGHT MENTAL HEALTH GROUP PLLC, LLC, COLORADO (Company Number 20211686449)
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: PO Box 530077, Atlanta, GA, 30353, US
Place of Formation: COLORADO

Key Officers & Management

Name Role Address
Milford Belinda Manager 1000 G Street, Sacramento, CA, 95814
- Agent -
Donahue Edward Auth 1000 G Street, Sacramento, CA, 95814

National Provider Identifier

NPI Number:
1295401248
Certification Date:
2023-08-16

Authorized Person:

Name:
GWENDOLYN MUCINO MARTINEZ
Role:
SR CREDENTIALING SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
101Y00000X - Counselor
Is Primary:
Yes

Contacts:

Events

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 -

Documents

Name Date
ANNUAL REPORT 2024-04-13
ANNUAL REPORT 2023-03-29
Foreign Limited 2022-02-23

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Date of last update: 03 Jul 2025

Sources: Florida Department of State