| Entity Name: | NORTH MIAMI HOLISTIC WELLNESS CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Mar 2020 (5 years ago) |
| Document Number: | P20000025227 |
| FEI/EIN Number | 845180692 |
| Address: | 713 NE 125TH STREET, MIAMI, FL, 33161, US |
| Mail Address: | 14880 SW 180 STREET, MIAMI, FL, 33187, US |
| ZIP code: | 33161 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013538800 | 2020-05-03 | 2020-05-03 | 14880 SW 180TH ST, MIAMI, FL, 331876275, US | 14880 SW 180TH ST, MIAMI, FL, 331876275, US | |||||||||||||||||||||||||
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| Phone | +1 786-318-8732 |
Authorized person
| Name | MS. NADINE L GOUSSE |
| Role | PSYCHOTHERAPIST |
| Phone | 7863188732 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GOUSSE NADINE L | Agent | 14880 SW 180 STREET, MIAMI, FL, 33187 |
| Name | Role | Address |
|---|---|---|
| GOUSSE NADINE L | President | 14880 SW 180 STREET, MIAMI, FL, 33187 |
| Name | Role | Address |
|---|---|---|
| GOUSSE NADINE | Chief Executive Officer | 14880 SW 180 STREET, MIAMI, FL, 33187 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-09-17 | 713 NE 125TH STREET, MIAMI, FL 33161 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-19 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-03-06 |
| ANNUAL REPORT | 2021-02-20 |
| Domestic Profit | 2020-03-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
