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BALANCED MIND WELLNESS CENTER INC

Company Details

Entity Name: BALANCED MIND WELLNESS CENTER INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 23 Apr 2024 (10 months ago)
Document Number: P24000029119
Address: 8365 NW 170TH STREET, HIALEAH, FL 33015
Mail Address: 8365 NW 170TH STREET, HIALEAH, FL 33015
ZIP code: 33015
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578382677 2024-10-07 2024-10-07 8365 NW 170TH ST, HIALEAH, FL, 330153712, US 8365 NW 170TH ST, HIALEAH, FL, 330153712, US

Contacts

Phone +1 786-202-3755

Authorized person

Name MONIQUE MARIE HERNANDEZ
Role LICENSED MENTAL HEALTH COUNSELOR
Phone 7862023755

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role
BG5 REGISTERED AGENT CORP Agent

President

Name Role Address
HERNANDEZ, MONIQUE M President 8365 NW 170TH STREET, HIALEAH, FL 33015

Documents

Name Date
Domestic Profit 2024-04-23

Date of last update: 08 Feb 2025

Sources: Florida Department of State