Entity Name: | SCHULTZ MENTAL HEALTHCARE SERVICES INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 12 Jul 2013 (12 years ago) |
Document Number: | P13000059112 |
FEI/EIN Number | 46-3225993 |
Address: | 1565 N Harbor City Blvd., Melbourne, FL, 32935, US |
Mail Address: | 2080 TURTLE MOUND ROAD, MELBOURNE, FL, 32934 |
ZIP code: | 32935 |
County: | Brevard |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1164011805 | 2021-01-17 | 2021-03-25 | 2080 TURTLE MOUND RD, MELBOURNE, FL, 329348109, US | 2080 TURTLE MOUND RD, MELBOURNE, FL, 329348109, US | |||||||||||||
|
Phone | +1 321-722-7787 |
Authorized person
Name | NICOLE SCHULTZ |
Role | PRESIDENT |
Phone | 9047072897 |
Taxonomy
Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
SCHULTZ NICOLE | Agent | 2080 TURTLE MOUND ROAD, MELBOURNE, FL, 32934 |
Name | Role | Address |
---|---|---|
SCHULTZ NICOLE | President | 2080 TURTLE MOUND ROAD, MELBOURNE, FL, 32934 |
Name | Role | Address |
---|---|---|
Schultz Anthony | Officer | 2080 TURTLE MOUND ROAD, MELBOURNE, FL, 32934 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G21000033697 | MINDFUL PSYCHIATRY | ACTIVE | 2021-03-10 | 2026-12-31 | No data | 2080 TURTLE MOUND ROAD, MELBOURNE, FL, 32934 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2023-05-17 | 1565 N Harbor City Blvd., Melbourne, FL 32935 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-06 |
ANNUAL REPORT | 2023-05-17 |
ANNUAL REPORT | 2022-05-01 |
ANNUAL REPORT | 2021-05-28 |
ANNUAL REPORT | 2020-01-20 |
ANNUAL REPORT | 2019-02-25 |
ANNUAL REPORT | 2018-03-05 |
ANNUAL REPORT | 2017-02-15 |
ANNUAL REPORT | 2016-02-03 |
ANNUAL REPORT | 2015-02-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State