| Entity Name: | EVERGREEN THERAPEUTIC SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Feb 2015 (10 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 14 Oct 2016 (8 years ago) |
| Document Number: | L15000019454 |
| FEI/EIN Number | 47-3084070 |
| Address: | 10901 NW 18th Dr, plantation, FL 33322 |
| Mail Address: | 10901 NW 18th Dr, plantation, FL 33322 |
| ZIP code: | 33322 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134510027 | 2015-02-12 | 2015-02-12 | 600 NE 36TH ST, # 407, MIAMI, FL, 331373929, US | 600 NE 36TH ST, # 407, MIAMI, FL, 331373929, US | |||||||||||||||||
|
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| Phone | +1 954-309-0834 |
Authorized person
| Name | DR. DENISE FOURNIER RODRIGUEZ |
| Role | OWNER |
| Phone | 9543090834 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH-12929 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FOURNIER, DENISE M, PH.D. | Agent | 650 NE 32nd St., Apt. 4905, MIAMI, FL 33137 |
| Name | Role | Address |
|---|---|---|
| FOURNIER , DENISE M, PH.D. | Manager | 650 NE 32nd St, Apt. 4905 MIAMI, FL 33137 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000010735 | EVERGREEN THERAPY | ACTIVE | 2016-01-29 | 2026-12-31 | No data | 650 NE 32ND ST., APT. 4703, MIAMI, FL, 33137 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-06 | 650 NE 32nd St., Apt. 4905, MIAMI, FL 33137 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-07-25 | 10901 NW 18th Dr, plantation, FL 33322 | No data |
| CHANGE OF MAILING ADDRESS | 2023-07-25 | 10901 NW 18th Dr, plantation, FL 33322 | No data |
| REINSTATEMENT | 2016-10-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-10-14 | FOURNIER, DENISE M, PH.D. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-18 |
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-01-12 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-03-01 |
| REINSTATEMENT | 2016-10-14 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State
