Detail by Officer/Registered Agent Name

Foreign Limited Liability Company

KETAMINE WELLNESS CENTERS JACKSONVILLE, LLC

Filing Information
M20000010375 85-3704829 11/12/2020 AZ ACTIVE
Principal Address
3753-2 CARDINAL POINT DR
JACKSONVILLE, FL 32257
Mailing Address
3753-2 CARDINAL POINT DR
JACKSONVILLE, FL 32257
Registered Agent Name & Address BLACK, BARBARA
3753-2 CARDINAL POINT DR
JACKSONVILLE, FL 32257
Authorized Person(s) Detail Name & Address

Title MGR

NICHOLSON, JULIE
491 N 159 PL
GILBERT, AZ 85234

Title MBR

KETAMINE WELLNESS CENTERS ARIZONA
491 N 159 PL
GILBERT, AZ 85234

Title MGR

NICHOLAS, KEVIN
491 N 159 PL
GILBERT, AZ 85234

Annual Reports
Report YearFiled Date
2022 02/01/2022
2023 01/18/2023
2023 01/31/2023