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BRAVE HEARTS WELLLNESS CENTER INC - Florida Company Profile

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Company Details

Entity Name: BRAVE HEARTS WELLLNESS CENTER INC
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 21 Aug 2024 (a year ago)
Document Number: N24000009999
FEI/EIN Number 99-4657060
Address: 1857 Wells Road, Suite 216, JACKSONVILLE, FL, 32073, US
Mail Address: 1857 Wells Road, Suite 216, JACKSONVILLE, FL, 32073, US
ZIP code: 32073
City: Orange Park
County: Clay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DAVILA ORTIZ KENIA N Agent 1857 Wells Road, JACKSONVILLE, FL, 32073
DAVILA ORTIZ KENIA N President 1857 Wells Road, JACKSONVILLE, FL, 32073
ORTIZ COLON SOR M Vice President 1857 Wells Road, JACKSONVILLE, FL, 32073

National Provider Identifier

NPI Number:
1922832062
Certification Date:
2025-05-13

Authorized Person:

Name:
KENIA N. DAVILA ORTIZ
Role:
OWNER/ PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
101YP1600X - Pastoral Counselor
Is Primary:
No
Selected Taxonomy:
101YP2500X - Professional Counselor
Is Primary:
No
Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
No

Contacts:

Documents

Name Date
Domestic Non-Profit 2024-08-21

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Date of last update: 03 Jul 2025

Sources: Florida Department of State