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GUARDIAN RECOVERY-IMMERSION OUTPATIENT, LLC

Company Details

Entity Name: GUARDIAN RECOVERY-IMMERSION OUTPATIENT, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 21 May 2015 (10 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 16 Oct 2024 (3 months ago)
Document Number: L15000090514
FEI/EIN Number 47-4067715
Address: 3333 South Congress Ave, Suite 402, Delray Beach, FL 33445
Mail Address: 3333 South Congress Ave, Suite 402, Delray Beach, FL 33445
ZIP code: 33445
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295198208 2016-03-29 2016-03-29 1700 W WOOLBRIGHT RD STE 4, BOYNTON BEACH, FL, 334266346, US 1700 W WOOLBRIGHT RD STE 4, BOYNTON BEACH, FL, 334266346, US

Contacts

Phone +1 561-843-5904

Authorized person

Name JUSTIN WILLIAM
Role ADMINISTRATOR
Phone 5618635904

Taxonomy

Taxonomy Code 103TA0400X - Addiction (Substance Use Disorder) Psychologist
Is Primary Yes

Agent

Name Role Address
Bryn Law Group Agent One Biscayne Tower, Suite 2600, Two South Biscayne Boulevard, Miami, FL 33131

Chief Executive Officer

Name Role Address
SCOTT, JOSHUA Chief Executive Officer 3333 S. CONGRESS AVE, STE 402 DELRAY BEACH, FL 33445

Authorized Member

Name Role
GUARDIAN RECOVERY NETWORK HOLDINGS, LLC Authorized Member

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000043731 GUARDIAN INTENSIVE OUTPATIENT EXPIRED 2018-04-04 2023-12-31 No data 3333 S CONGRESS AVE, STE 402, DELRAY BEACH, FL, 33445
G17000034344 GUARDIAN INTENSIVE OUTPATIENT EXPIRED 2017-03-31 2022-12-31 No data 1700 W WOOLBRIGHT RD, STE 4, BOYNTON BEACH, FL, 33426

Events

Event Type Filed Date Value Description
LC NAME CHANGE 2024-10-16 GUARDIAN RECOVERY-IMMERSION OUTPATIENT, LLC No data
REGISTERED AGENT NAME CHANGED 2023-04-26 Bryn Law Group No data
REGISTERED AGENT ADDRESS CHANGED 2020-05-01 One Biscayne Tower, Suite 2600, Two South Biscayne Boulevard, Miami, FL 33131 No data
LC AMENDMENT 2018-09-06 No data No data
LC AMENDMENT 2018-08-09 No data No data
CHANGE OF PRINCIPAL ADDRESS 2017-04-05 3333 South Congress Ave, Suite 402, Delray Beach, FL 33445 No data
CHANGE OF MAILING ADDRESS 2017-04-05 3333 South Congress Ave, Suite 402, Delray Beach, FL 33445 No data

Documents

Name Date
LC Name Change 2024-10-16
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-04-26
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-05-01
ANNUAL REPORT 2019-04-30
LC Amendment 2018-09-06
LC Amendment 2018-08-09
ANNUAL REPORT 2018-03-26

Date of last update: 20 Jan 2025

Sources: Florida Department of State