| Entity Name: | PALM BEACH MENTAL HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 May 2011 (14 years ago) |
| Document Number: | L11000063543 |
| FEI/EIN Number | 451483068 |
| Address: | 1901 S Congress Ave, Boynton Beach, FL, 33426, US |
| Mail Address: | 1901 S Congress Ave, Boynton Beach, FL, 33426, US |
| ZIP code: | 33426 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811278898 | 2011-09-02 | 2019-11-11 | 1901 S CONGRESS AVE STE 300, BOYNTON BEACH, FL, 334266551, US | 1901 S CONGRESS AVE STE 300, BOYNTON BEACH, FL, 33426, US | |||||||||||||||||||
|
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| Phone | +1 561-330-4557 |
| Fax | 5613304558 |
Authorized person
| Name | DR. CHARLES RAELE |
| Role | OWNER/PHYSICIAN |
| Phone | 5613304557 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME109468 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Raele Charles | Agent | 1901 S Congress Ave, Boynton Beach, FL, 33426 |
| Name | Role | Address |
|---|---|---|
| RAELE CHARLES M | Manager | 1901 S Congress Ave, Boynton Beach, FL, 33426 |
| Raele Lindsay | Manager | 1901 S Congress Ave, Boynton Beach, FL, 33426 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-03-19 | Raele, Charles | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-06-15 | 1901 S Congress Ave, Suite 300, Boynton Beach, FL 33426 | No data |
| CHANGE OF MAILING ADDRESS | 2018-06-15 | 1901 S Congress Ave, Suite 300, Boynton Beach, FL 33426 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-06-15 | 1901 S Congress Ave, Suite 300, Boynton Beach, FL 33426 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-12 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-02-25 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-02-10 |
| AMENDED ANNUAL REPORT | 2018-06-15 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-02-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
