| Entity Name: | HEALTH OF MIND, INCORPORATED |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Mar 2006 (19 years ago) |
| Document Number: | P06000035304 |
| FEI/EIN Number | 204462862 |
| Address: | 2020 PONCE DE LEON BLVD, CORAL GABLES, FL, 33134, US |
| Mail Address: | 2020 PONCE DE LEON BLVD, CORAL GABLES, FL, 33134, US |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265616049 | 2007-12-28 | 2024-08-08 | 2020 PONCE DE LEON BLVD STE 1201, CORAL GABLES, FL, 331344476, US | 2020 PONCE DE LEON BLVD STE 1201, CORAL GABLES, FL, 331344476, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 305-917-5414 |
| Fax | 3052201864 |
Authorized person
| Name | DR. FRANK R. PEREZ-VERDECIA |
| Role | PRESIDENT |
| Phone | 3059175414 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| License Number | PY8713 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 103K00000X - Behavior Analyst |
| License Number | BCBA11830222 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TB0200X - Cognitive & Behavioral Psychologist |
| License Number | PY8713 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| License Number | PY8713 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | PY8713 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| License Number | PY8713 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| License Number | PY8713 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 688875596 |
| State | FL |
| Issuer | MEDICAID |
| Number | 017772200 |
| State | FL |
| Issuer | MEDICAID |
| Number | 688875598 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PEREZ VERDECIA FRANK RDr. | Agent | 2020 PONCE DE LEON BLVD, CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| PEREZ-VERDECIA FRANK RDr. | President | 2020 PONCE DE LEON BLVD, CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| CARBONELL MIRTA L | Chief Operating Officer | 2020 PONCE DE LEON BLVD, CORAL GABLES, FL, 33134 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000062883 | MIAMI CHILDREN INSTITUTE | EXPIRED | 2011-06-22 | 2016-12-31 | No data | 145 MADEIRA AVE, SUITE 136, CORAL GABLES, FL, 33134 |
| G09000165530 | FRESCO CLEANING SOLUTION | EXPIRED | 2009-10-15 | 2014-12-31 | No data | 5460 SW 133 COURT, MIAMI, FL, 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-04 | 2020 PONCE DE LEON BLVD, Suite 1201, CORAL GABLES, FL 33134 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-04 | 2020 PONCE DE LEON BLVD, Suite 1201, CORAL GABLES, FL 33134 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-04 | 2020 PONCE DE LEON BLVD, Suite 1201, CORAL GABLES, FL 33134 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-03-20 | PEREZ VERDECIA, FRANK R, Dr. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-12 |
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-03-12 |
| ANNUAL REPORT | 2018-01-26 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-01-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
