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MAGNOLIA MENTAL HEALTH CORP. - Florida Company Profile

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Company Details

Entity Name: MAGNOLIA MENTAL HEALTH CORP.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 03 Jan 2023 (3 years ago)
Document Number: P23000001134
FEI/EIN Number 92-1503815
Address: 120 Broadway Av Suite 203, Kissimmee, FL, 34741, US
Mail Address: 120 Broadway Av Suite 203, Kissimmee, FL, 34741, US
ZIP code: 34741
City: Kissimmee
County: Osceola
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GARCIA CRISTINA M President 120 Broadway Av Suite 203, Kissimmee, FL, 34741
GARCIA MARIA V Vice President 120 Broadway Av Suite 203, Kissimmee, FL, 34741
GARCIA CRISTINA M Agent 120 Broadway Av Suite 203, Kissimmee, FL, 34741

National Provider Identifier

NPI Number:
1265146179
Certification Date:
2023-01-10

Authorized Person:

Name:
CRISTINA M GARCIA
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
103K00000X - Behavior Analyst
Is Primary:
No
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-30 4 W Darlington Avenue, Kissimmee, FL 34741 -
CHANGE OF MAILING ADDRESS 2024-04-30 4 W Darlington Avenue, Kissimmee, FL 34741 -

Documents

Name Date
ANNUAL REPORT 2024-04-30
Domestic Profit 2023-01-03

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Date of last update: 02 Aug 2025

Sources: Florida Department of State