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ILLUMINATE MENTAL HEALTH, PA - Florida Company Profile

Company Details

Entity Name: ILLUMINATE MENTAL HEALTH, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

ILLUMINATE MENTAL HEALTH, PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 23 Jan 2023 (2 years ago)
Document Number: P23000007168
FEI/EIN Number 92-2037145

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 681 Box Branch Circle, JACKSONVILLE, FL, 32259, US
Mail Address: 681 Box Branch Circle, JACKSONVILLE, FL, 32259, US
ZIP code: 32259
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720840846 2024-01-24 2024-01-24 681 BOX BRANCH CIR, ST JOHNS, FL, 322594379, US 12627 SAN JOSE BLVD STE 301, JACKSONVILLE, FL, 322238639, US

Contacts

Phone +1 540-222-3495

Authorized person

Name MR. MATTHEW MEWHORTER
Role VICE PRESIDENT/OFFICER
Phone 5402223495

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Key Officers & Management

Name Role Address
MEWHORTER AMANDA M President 681 Box Branch Circle, JACKSONVILLE, FL, 32259
MEWHORTER MATTHEW P Vice President 681 Box Branch Circle, JACKSONVILLE, FL, 32259
MEWHORTER AMANDA M Agent 597 SPARROW BRANCH CIRCLE, JACKSONVILLE, FL, 32259

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2025-02-08 681 Box Branch Circle, JACKSONVILLE, FL 32259 -
CHANGE OF PRINCIPAL ADDRESS 2024-02-09 681 Box Branch Circle, JACKSONVILLE, FL 32259 -
CHANGE OF MAILING ADDRESS 2024-02-09 681 Box Branch Circle, JACKSONVILLE, FL 32259 -

Documents

Name Date
ANNUAL REPORT 2025-02-08
ANNUAL REPORT 2024-02-09
Domestic Profit 2023-01-23

Date of last update: 03 Apr 2025

Sources: Florida Department of State