Entity Name: | BEHAVIORAL HEALTH INSTITUTE, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 11 Apr 1988 (37 years ago) |
Document Number: | K20681 |
FEI/EIN Number | 650060483 |
Address: | 1881 UNIVERSITY DR., #104, CORAL SPRINGS, FL, 33071 |
Mail Address: | 9204 NW 2 St., Coral Springs, FL, 33071, US |
ZIP code: | 33071 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1922119098 | 2006-08-31 | 2011-07-06 | 1881 UNIVERSITY DR, SUITE 104, CORAL SPRINGS, FL, 33071, US | 1881 UNIVERSITY DR, SUITE 104, CORAL SPRINGS, FL, 33071, US | |||||||||||||||
|
Phone | +1 954-340-0888 |
Fax | 9543460909 |
Authorized person
Name | MS. LESLIE A BRODBECK |
Role | OFFICE MANAGER |
Phone | 9543400888 |
Taxonomy
Taxonomy Code | 103T00000X - Psychologist |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
WERNICK ROBERT | Agent | 9204 NW 2 St., Coral Springs, FL, 33071 |
Name | Role | Address |
---|---|---|
Wernick Robert Dr. | Director | 9204 NW 2 St., Coral Springs, FL, 33071 |
Nelson-Wernick Eleanor Dr. | Director | 9204 NW 2 St., Coral Springs, FL, 33071 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
NAME CHANGE AMENDMENT | 1994-03-09 | BEHAVIORAL HEALTH INSTITUTE, INC. | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State