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MARY KAY YOUNG, LMHC, INC.

Company Details

Entity Name: MARY KAY YOUNG, LMHC, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 22 Aug 2001 (23 years ago)
Document Number: P01000083323
FEI/EIN Number 522339486
Address: 850310 US Hwy 17, Yulee, FL, 32097, US
Mail Address: 76122 Deerwood Drive, YULEE, FL, 32097, US
ZIP code: 32097
County: Nassau
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588792493 2007-03-01 2020-08-22 1724 VILLAGE WAY, SUITE A, ORANGE PARK, FL, 320735264, US 1417 SADLER RD, #164, FERNANDINA BEACH, FL, 320344466, US

Contacts

Phone +1 904-269-0886
Phone +1 904-583-0349

Authorized person

Name MRS. MARY KAY YOUNG
Role PRESIDENT
Phone 9042690886

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
License Number 2494
State FL
Is Primary Yes

Agent

Name Role Address
YOUNG MARY KAY Agent 76122 Deerwood Drive, Yulee, FL, 32097

President

Name Role Address
YOUNG MARY KAY President 76122 Deerwood Drive, YULEE, FL, 32097

Director

Name Role Address
YOUNG MARY KAY Director 76122 Deerwood Drive, YULEE, FL, 32097

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-07-22 850310 US Hwy 17, Yulee, FL 32097 No data
REGISTERED AGENT ADDRESS CHANGED 2020-07-22 76122 Deerwood Drive, Yulee, FL 32097 No data
CHANGE OF MAILING ADDRESS 2019-04-30 850310 US Hwy 17, Yulee, FL 32097 No data
REGISTERED AGENT NAME CHANGED 2009-03-12 YOUNG, MARY KAY No data

Documents

Name Date
ANNUAL REPORT 2024-04-01
ANNUAL REPORT 2023-03-07
ANNUAL REPORT 2022-05-02
ANNUAL REPORT 2021-04-21
ANNUAL REPORT 2020-07-22
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-19
ANNUAL REPORT 2017-05-01
ANNUAL REPORT 2016-04-27
ANNUAL REPORT 2015-04-30

Date of last update: 01 Feb 2025

Sources: Florida Department of State