| Entity Name: | LIFE CHANGES ADDICTION TREATMENT CENTER OF THE PALM BEACHES |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 11 Jun 2013 (12 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L13000084259 |
| FEI/EIN Number | 46-3121411 |
| Address: | 900 OSCEOLA DRIVE, SUITE 200A/B, WEST PALM BEACH, FL 33409 |
| Mail Address: | 900 OSCEOLA DRIVE, SUITE 200A/B, WEST PALM BEACH, FL 33409 |
| ZIP code: | 33409 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174954739 | 2013-12-09 | 2013-12-09 | 900 OSCEOLA DR, SUITE 200 A/B, WEST PALM BEACH, FL, 334095000, US | 900 OSCEOLA DR, SUITE 200 A/B, WEST PALM BEACH, FL, 334095000, US | |||||||||||||||
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| Phone | +1 561-331-8701 |
| Fax | 7723378505 |
Authorized person
| Name | MRS. JENNIFER RAE |
| Role | ASSISTANT TO CEO |
| Phone | 7723378500 |
Taxonomy
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| mobarak, yusef k | Agent | 900 OSCEOLA DRIVE, SUITE 200, WEST PALM BEACH, FL 33409 |
| Name | Role | Address |
|---|---|---|
| MOBARAK, YUSEF K | Manager | 900 OSCEOLA DR, STE 200, WEST PALM BCH, FL 33409 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REINSTATEMENT | 2017-10-20 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-10-20 | mobarak, yusef k | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-10-14 | 900 OSCEOLA DRIVE, SUITE 200, WEST PALM BEACH, FL 33409 | No data |
| LC AMENDMENT | 2016-10-14 | No data | No data |
| LC DISSOCIATION MEM | 2016-10-11 | No data | No data |
| LC DISSOCIATION MEM | 2016-08-29 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-09-09 | 900 OSCEOLA DRIVE, SUITE 200A/B, WEST PALM BEACH, FL 33409 | No data |
| CHANGE OF MAILING ADDRESS | 2013-09-09 | 900 OSCEOLA DRIVE, SUITE 200A/B, WEST PALM BEACH, FL 33409 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-03-12 |
| REINSTATEMENT | 2017-10-20 |
| Reg. Agent Resignation | 2016-11-07 |
| LC Amendment | 2016-10-14 |
| CORLCDSMEM | 2016-10-11 |
| CORLCDSMEM | 2016-08-29 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-01-08 |
| ANNUAL REPORT | 2014-01-23 |
| LC Amendment | 2013-09-09 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
