| Entity Name: | CRYSTAL MINDS PSYCHOLOGICAL SERVICES INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Oct 2018 (6 years ago) |
| Document Number: | P18000084352 |
| FEI/EIN Number | 83-2286655 |
| Address: | 7875 NW 12 St., Doral, FL, 33126, US |
| Mail Address: | 7875 NW 12 St., Doral, FL, 33126, US |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316408180 | 2019-03-26 | 2020-05-14 | 19553 SW 42ND CT, MIRAMAR, FL, 330292748, US | 7875 NW 12TH ST STE 109, DORAL, FL, 331261815, US | |||||||||||||||||||||||||||||
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| Phone | +1 786-269-3502 |
| Fax | 3054686159 |
| Fax | 3054686154 |
Authorized person
| Name | DR. MONICA D GILBERT |
| Role | OWNER |
| Phone | 7862693502 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | Yes |
| Taxonomy Code | 103TC1900X - Counseling Psychologist |
| Is Primary | No |
| Taxonomy Code | 103TC2200X - Clinical Child & Adolescent Psychologist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GILBERT MONICA DDR. | Agent | 7875 NW 12 St., Doral, FL, 33126 |
| Name | Role | Address |
|---|---|---|
| GILBERT MONICA DDR. | President | 7875 NW 12 St., Doral, FL, 33126 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-27 | 7875 NW 12 St., 110, Doral, FL 33126 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-27 | 7875 NW 12 St., 110, Doral, FL 33126 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-27 | 7875 NW 12 St., 110, Doral, FL 33126 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-02-13 |
| AMENDED ANNUAL REPORT | 2019-08-21 |
| ANNUAL REPORT | 2019-06-13 |
| Domestic Profit | 2018-10-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
