| Entity Name: | KEY WEST BEHAVIORAL HEALTH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 14 Jul 2009 (16 years ago) |
| Date of dissolution: | 27 Dec 2011 (13 years ago) |
| Last Event: | WITHDRAWAL |
| Event Date Filed: | 27 Dec 2011 (13 years ago) |
| Document Number: | F09000002817 |
| FEI/EIN Number |
270159185
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1200 KENNEDY DRIVE, SUITE 109, KEY WEST, FL, 33040 |
| Mail Address: | PO BOX 882452, PORT SAINT LUCIE, FL, 34988, US |
| ZIP code: | 33040 |
| County: | Monroe |
| Place of Formation: | NEVADA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891924924 | 2009-07-10 | 2009-07-10 | 1200 KENNEDY DR, KEY WEST, FL, 330404023, US | 1200 KENNEDY DR, KEY WEST, FL, 330404023, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 305-294-5592 |
| Fax | 3052945594 |
Authorized person
| Name | CARA M YERGEN |
| Role | OWNER/MD |
| Phone | 3052945592 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME100952 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | ME100952 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| YERGEN CARA M | President | 1200 KENNEDY DRIVE, SUITE 109, KEY WEST, FL, 33040 |
| YERGEN CARA M | Treasurer | 1200 KENNEDY DRIVE, SUITE 109, KEY WEST, FL, 33040 |
| YERGEN CARA M | Director | 1200 KENNEDY DRIVE, SUITE 109, KEY WEST, FL, 33040 |
| YERGEN CARA M | Secretary | 1200 KENNEDY DRIVE, SUITE 109, KEY WEST, FL, 33040 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| WITHDRAWAL | 2011-12-27 | - | - |
| CHANGE OF MAILING ADDRESS | 2011-12-27 | 1200 KENNEDY DRIVE, SUITE 109, KEY WEST, FL 33040 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2010-01-14 | 1200 KENNEDY DRIVE, SUITE 109, KEY WEST, FL 33040 | - |
| Name | Date |
|---|---|
| WITHDRAWAL | 2011-12-27 |
| ANNUAL REPORT | 2011-01-05 |
| ANNUAL REPORT | 2010-01-14 |
| Foreign Profit | 2009-07-14 |
Date of last update: 02 May 2025
Sources: Florida Department of State
