MINDWIRE THERAPY, INC
Mental Health at Corbett St, Clearwater, FL

License number
Florida MH11310
Category
Mental Health
Type
Mental Health
License number
Florida MH11558
Category
Mental Health
Type
Mental Health
Owner
Name: ALEXANDRA THEIS LMHC
Title: CEO
Phone: (407) 223-5423
Address
Address
401 Corbett St SUITE 460, Clearwater, FL 33756
National Provider ID: 1780095968
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MINDWIRE THERAPY, INC at bizstanding.com

MINDWIRE THERAPY, INC

Clearwater, FL  -  Safety Harbor, FL

Status:
Inactive
Inactive reason:
VOLUNTARY DISSOLUTION
Registration:
Apr 30, 2014
Inactive since:
Nov 6, 2014
Addresses:
401 Corbett St 460, Clearwater, FL 33759 (Physical)
1200 Country Trl Dr, Safety Harbor, FL 34695 (Mailing)
401 Corbett St, Clearwater, FL 33756
State ID:
P14000038723
Business type:
Florida Profit Corporation
Chairman, COOs:
Alexandra J Theis CEO, Chairman, inactive, 401 Corbett St SUITE 460, Clearwater, FL 33759 (Physical),Angela Speller Chairman, COO, inactive, 401 Corbett St SUITE 460, Clearwater, FL 33759 (Physical)
Agent:
Harte, Julie,9356 Balm Riverview Rd, Riverview, FL 33569 (Physical)
EIN:
NO-NE

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