| Entity Name: | BEHAVIORAL HEALTH MEDICAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 23 Jul 2015 (10 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L15000123962 |
| FEI/EIN Number | 47-4839508 |
| Address: | 2700 PGA BLVD STE 104, PALM BEACH GARDENS, FL 33410 |
| Mail Address: | 2700 PGA BLVD STE 104, PALM BEACH GARDENS, FL 33410 |
| ZIP code: | 33410 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245608421 | 2015-09-04 | 2015-11-20 | 2700 PGA BLVD STE 203, PALM BEACH GARDENS, FL, 334102958, US | 2700 PGA BLVD STE 203, PALM BEACH GARDENS, FL, 334102958, US | |||||||||||||
|
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| Phone | +1 561-517-8843 |
Authorized person
| Name | MR. PAUL KAMPS |
| Role | CFO |
| Phone | 5615178843 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Bernstein, Brian S | Agent | 3001 PGA BLVD STE 305, PALM BEACH GARDENS, FL 33410 |
| Name | Role | Address |
|---|---|---|
| Matte, Michael | Managing member | 2700 PGA BLVD STE 104, PALM BEACH GARDENS, FL 33410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-02-08 | 2700 PGA BLVD STE 104, PALM BEACH GARDENS, FL 33410 | No data |
| CHANGE OF MAILING ADDRESS | 2018-02-08 | 2700 PGA BLVD STE 104, PALM BEACH GARDENS, FL 33410 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-01-26 | Bernstein, Brian S | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-26 | 3001 PGA BLVD STE 305, PALM BEACH GARDENS, FL 33410 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-19 |
| ANNUAL REPORT | 2018-02-08 |
| ANNUAL REPORT | 2017-01-26 |
| ANNUAL REPORT | 2016-02-16 |
| Florida Limited Liability | 2015-07-23 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
