| Entity Name: | WISHING WELL OUTPATIENT CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 15 Mar 2016 (9 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L16000052088 |
| FEI/EIN Number | 81-1843798 |
| Address: | 706 WEST BOYNTON BEACH BLVD., SUITE 104B, BOYNTON BEACH, FL, 33426 |
| Mail Address: | 706 WEST BOYNTON BEACH BLVD., SUITE 104B, BOYNTON BEACH, FL, 33426 |
| ZIP code: | 33426 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558804146 | 2016-11-30 | 2016-11-30 | 301 W BOYNTON BEACH BLVD, BOYNTON BEACH, FL, 334354024, US | 301 W BOYNTON BEACH BLVD, BOYNTON BEACH, FL, 334354024, US | |||||||||||||
|
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| Phone | +1 954-709-7124 |
Authorized person
| Name | KARLA AVILES |
| Role | GENERAL MANAGER |
| Phone | 9547097124 |
Taxonomy
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TALLERIE PIERRE M | Agent | 706 WEST BOYNTON BEACH BLVD., SUITE 104B, BOYNTON BEACH, FL, 33426 |
| Name | Role | Address |
|---|---|---|
| TALLERIE PIERRE M | Manager | 706 WEST BOYNTON BEACH BLVD., SUITE 104B, BOYNTON BEACH, FL, 33426 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-03-19 |
| ANNUAL REPORT | 2017-02-28 |
| Florida Limited Liability | 2016-03-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
