| Entity Name: | PEACEFUL MINDS COUNSELING, PSYCHIATRIC, AND MEDICAL SERVICES, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Apr 2024 (10 months ago) |
| Document Number: | P24000025322 |
| Address: | 8785 SW 165 AVE, MIAMI, FL, 33193 |
| Mail Address: | 8785 SW 165 AVE, MIAMI, FL, 33193 |
| ZIP code: | 33193 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093543092 | 2024-07-23 | 2024-08-15 | 8785 SW 165TH AVE, MIAMI, FL, 331935826, US | 8785 SW 165TH AVE, MIAMI, FL, 331935826, US | |||||||||||||||
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| Phone | +1 786-921-5451 |
| Fax | 7869215451 |
Authorized person
| Name | BARBARA RODRIGUEZ |
| Role | OWNER |
| Phone | 3057251225 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ BARBARA | Agent | 8785 SW 165 AVE, MIAMI, FL, 33193 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ BARBARA | President | 8785 SW 165 AVE, MIAMI, FL, 33193 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-04-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
