Search icon

MINDFUL PSYCHOLOGY AND WELLNESS CENTER, INC. - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: MINDFUL PSYCHOLOGY AND WELLNESS CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 02 Oct 2019 (6 years ago)
Document Number: P19000077268
FEI/EIN Number 84-4210395
Address: 964 SW 101 WAY, PEMBROKE PINES, FL, 33025, US
Mail Address: 964 SW 101 WAY, PEMBROKE PINES, FL, 33025, US
ZIP code: 33025
City: Hollywood
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DAVENPORT LISA President 964 SW 101 WAY, PEMBROKE PINES, FL, 33025
DAVENPORT LISA Agent 964 SW 101 WAY, PEMBROKE PINES, FL, 33025

National Provider Identifier

NPI Number:
1437822988
Certification Date:
2021-07-30

Authorized Person:

Name:
DR. LISA DAVENPORT
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
Yes

Contacts:

Fax:
4314872786
Fax:
7864314872

Documents

Name Date
ANNUAL REPORT 2025-01-28
ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2023-03-07
ANNUAL REPORT 2022-03-13
ANNUAL REPORT 2021-02-06
ANNUAL REPORT 2020-02-09
Domestic Profit 2019-10-02

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 03 Aug 2025

Sources: Florida Department of State