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WELLSPRING MENTAL HEALTH GROUP, INC. - Florida Company Profile

Company Details

Entity Name: WELLSPRING MENTAL HEALTH GROUP, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
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: 24 Oct 2018 (6 years ago)
Document Number: N18000011397
FEI/EIN Number 83-2334820

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1121 N DIXIE FREEWAY, NEW SMYRNA BEACH, FL, 32168, US
Mail Address: 1121 n dixie freeway, NEW SMYRNA BEACH, 32168, UN
ZIP code: 32168
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932669132 2019-03-22 2019-03-22 1982 SR 44, SUITE 194, NEW SMYRNA BEACH, FL, 32168, US 1121 N DIXIE FWY, NEW SMYRNA BEACH, FL, 321686069, US

Contacts

Phone +1 386-316-7462
Phone +1 386-410-3354

Authorized person

Name NATE INGRAM
Role DIRECTOR
Phone 3864103354

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Key Officers & Management

Name Role Address
MILLER KAYLA M Vice President 1982 SR 44 STE 194, NEW SMYRNA BEACH, FL, 32168
INGRAM Nathaniel P SAA 1982 SR 44 STE 194, NEW SMYRNA BEACH, FL, 32168
Ingram Kimberly M President 1121 N Dixie Freeway, New Smyrna Beach, FL, 32168
INGRAM NATHANIEL Agent 1121 n dixie freeway, NEW SMYRNA BEACH, FL, 32168

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000052277 WELLSPRING PORT ORANGE ACTIVE 2023-04-25 2028-12-31 - 1121 N DIXIE FREEWAY, NEW SMYRNA BEACH, FL, 32168
G19000089803 THE WELLSPRING NSB EXPIRED 2019-08-21 2024-12-31 - 1121 N DIXIE FREEWAY, NEW SMYRNA BEACH, FL, 32168

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-17 1121 N DIXIE FREEWAY, NEW SMYRNA BEACH, FL 32168 -
CHANGE OF MAILING ADDRESS 2024-04-17 1121 N DIXIE FREEWAY, NEW SMYRNA BEACH, FL 32168 -
REGISTERED AGENT ADDRESS CHANGED 2024-04-17 1121 n dixie freeway, NEW SMYRNA BEACH, FL 32168 -

Documents

Name Date
ANNUAL REPORT 2024-04-17
ANNUAL REPORT 2023-04-25
ANNUAL REPORT 2022-04-30
ANNUAL REPORT 2021-05-01
ANNUAL REPORT 2020-04-30
ANNUAL REPORT 2019-05-01
Domestic Non-Profit 2018-10-24

Date of last update: 02 Apr 2025

Sources: Florida Department of State