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MAGNOLIA MENTAL HEALTH & WELLNESS, INC - Florida Company Profile

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Company Details

Entity Name: MAGNOLIA MENTAL HEALTH & WELLNESS, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 14 Sep 2023 (2 years ago)
Document Number: P23000066655
FEI/EIN Number 93-3414970
Address: 115 LAKE BROWARD LANE, POMONA PARK, FL, 32181
Mail Address: 115 LAKE BROWARD LANE, POMONA PARK, FL, 32181
ZIP code: 32181
City: Pomona Park
County: Putnam
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
KNIGHT KATHERINE President 115 LAKE BROWARD LANE, POMONA PARK, FL, 32181
KNIGHT KATHERINE Secretary 115 LAKE BROWARD LANE, POMONA PARK, FL, 32181
- Agent -

National Provider Identifier

NPI Number:
1265223242
Certification Date:
2025-05-16

Authorized Person:

Name:
KATHERINE BISHOP
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YP2500X - Professional Counselor
Is Primary:
Yes

Contacts:

Documents

Name Date
ANNUAL REPORT 2025-02-04
ANNUAL REPORT 2024-01-28
Domestic Profit 2023-09-14

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Date of last update: 02 Aug 2025

Sources: Florida Department of State