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LIFE CHANGES ADDICTION TREATMENT CENTER OF THE PALM BEACHES - Florida Company Profile

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Company Details

Entity Name: LIFE CHANGES ADDICTION TREATMENT CENTER OF THE PALM BEACHES
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 11 Jun 2013 (12 years ago)
Date of dissolution: 27 Sep 2019 (6 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (6 years ago)
Document Number: L13000084259
FEI/EIN Number 463121411
Address: 900 OSCEOLA DRIVE, SUITE 200A/B, WEST PALM BEACH, FL, 33409, US
Mail Address: 900 OSCEOLA DRIVE, SUITE 200A/B, WEST PALM BEACH, FL, 33409, US
ZIP code: 33409
City: West Palm Beach
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MOBARAK YUSEF K Manager 900 OSCEOLA DR, STE 200, WEST PALM BCH, FL, 33409
mobarak yusef k Agent 900 OSCEOLA DRIVE, WEST PALM BEACH, FL, 33409

National Provider Identifier

NPI Number:
1174954739

Authorized Person:

Name:
MRS. JENNIFER RAE
Role:
ASSISTANT TO CEO
Phone:

Taxonomy:

Selected Taxonomy:
261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
7723378505

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 - -
REINSTATEMENT 2017-10-20 - -
REGISTERED AGENT NAME CHANGED 2017-10-20 mobarak, yusef k -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 - -
REGISTERED AGENT ADDRESS CHANGED 2016-10-14 900 OSCEOLA DRIVE, SUITE 200, WEST PALM BEACH, FL 33409 -
LC AMENDMENT 2016-10-14 - -
LC DISSOCIATION MEM 2016-10-11 - -
LC DISSOCIATION MEM 2016-08-29 - -
CHANGE OF PRINCIPAL ADDRESS 2013-09-09 900 OSCEOLA DRIVE, SUITE 200A/B, WEST PALM BEACH, FL 33409 -
CHANGE OF MAILING ADDRESS 2013-09-09 900 OSCEOLA DRIVE, SUITE 200A/B, WEST PALM BEACH, FL 33409 -

Documents

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

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Date of last update: 03 Aug 2025

Sources: Florida Department of State