| Entity Name: | SEL MENTAL HEALTH SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 24 Sep 2013 (11 years ago) |
| Date of dissolution: | 06 Jul 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 06 Jul 2017 (8 years ago) |
| Document Number: | L13000134816 |
| FEI/EIN Number | 46-3821752 |
| Address: | 750 South Orange Blossom Trail, Suite 111, ORLANDO, FL 32805 |
| Mail Address: | 750 south orange blossom trail, Suite 111, ORLANDO, FL 32805 |
| ZIP code: | 32805 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093142945 | 2013-10-07 | 2013-10-07 | 4402 HAYLOCK DR, ORLANDO, FL, 328071010, US | 4402 HAYLOCK DR, ORLANDO, FL, 328071010, US | |||||||||||||
|
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| Phone | +1 407-701-6619 |
Authorized person
| Name | MRS. EBONY ROBINSON-MIZELL |
| Role | TARGETED CASE MANAGER |
| Phone | 4077016619 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | Yes |
| Name | Role |
|---|---|
| SEL MENTAL HEALTH SERVICES, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| ROBINSON-MIZELL, EBONY | Managing Member | 4402 HAYLOCK DRIVE, ORLANDO, FL 32807 |
| FOWLER, STACEY | Managing Member | 1127 BILTSDALE COURT, APOPKA, FL 32712 |
| LUCAS, LAURA | Managing Member | PO BOX 622101, ORLANDO, FL 32862 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-07-06 | No data | No data |
| REINSTATEMENT | 2016-12-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-12-22 | 750 South Orange Blossom Trail, Suite 111, ORLANDO, FL 32805 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-12-22 | 750 South Orange Blossom Trail, Suite 111, ORLANDO, FL 32805 | No data |
| CHANGE OF MAILING ADDRESS | 2016-12-22 | 750 South Orange Blossom Trail, Suite 111, ORLANDO, FL 32805 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-12-22 | SEL Mental Health Services | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2016-12-22 |
| Florida Limited Liability | 2013-09-24 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
