| Entity Name: | ACCESS MENTAL SOLUTIONS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 02 Aug 2011 (14 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L11000088725 |
| FEI/EIN Number | 452891356 |
| Address: | 42 East 5th Street, Hialeah, FL, 33010, US |
| Mail Address: | 42 East 5th Street, Hialeah, FL, 33010, US |
| ZIP code: | 33010 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437580792 | 2013-12-11 | 2017-10-26 | 42 E 5TH ST, HIALEAH, FL, 330104842, US | 42 E 5TH ST, HIALEAH, FL, 330104842, US | |||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 786-401-7818 |
| Fax | 7864311065 |
Authorized person
| Name | MARIETA GARCIA DE PORTO |
| Role | CLINICAL DIRECTOR |
| Phone | 7864017818 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH10659 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| License Number | HCC10378 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | HCC10378 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004073400 |
| State | FL |
| Issuer | MEDICAID |
| Number | 010521200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SPIEGEL & UTRERA, PA | Agent | 1840 SOUTHWEST 22ND STREET 4TH FLOOR, MIAMI, FL, 33145 |
| Name | Role | Address |
|---|---|---|
| GARCIA DE PORTO MARIETA | Operating Manager | 1900 SW 22ND ST. SUITE 305, MIAMI, FL, 33145 |
| Name | Role | Address |
|---|---|---|
| GARCIA DE PORTO MARIETA | Secretary | 1900 SW 22ND ST. SUITE 305, MIAMI, FL, 33145 |
| Name | Role | Address |
|---|---|---|
| GARCIA DE PORTO MARIETA | Treasurer | 1900 SW 22ND ST. SUITE 305, MIAMI, FL, 33145 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-11-18 | 42 East 5th Street, Hialeah, FL 33010 | No data |
| CHANGE OF MAILING ADDRESS | 2016-11-18 | 42 East 5th Street, Hialeah, FL 33010 | No data |
| LC AMENDMENT | 2012-08-29 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-02-08 |
| ANNUAL REPORT | 2016-02-01 |
| ANNUAL REPORT | 2015-02-25 |
| ANNUAL REPORT | 2014-03-09 |
| ANNUAL REPORT | 2013-02-10 |
| LC Amendment | 2012-08-29 |
| ANNUAL REPORT | 2012-04-12 |
| Florida Limited Liability | 2011-08-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
