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H.E.A.L. PSYCHOTHERAPY SERVICES, LLC

Company Details

Entity Name: H.E.A.L. PSYCHOTHERAPY SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 31 Mar 2016 (9 years ago)
Document Number: L16000064087
FEI/EIN Number 81-2697671
Address: 6303 Blue Lagoon Drive, Miami, FL, 33126, US
Mail Address: 6303 Blue Lagoon Drive, Miami, FL, 33126, US
ZIP code: 33126
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932635125 2017-05-07 2022-03-20 1 ALHAMBRA PLZ PH FLOOR, CORAL GABLES, FL, 331345216, US 1 ALHAMBRA PLZ PH FLOOR, CORAL GABLES, FL, 331345216, US

Contacts

Phone +1 786-749-2275

Authorized person

Name MS. MICHELLE C LAKE
Role BUSINESS OWNER
Phone 7867492275

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
License Number MH 10806
State FL
Is Primary Yes

Agent

Name Role Address
FONSECA MARTHA L Agent 6303 Blue Lagoon Drive, Miami, FL, 33126

Manager

Name Role Address
FONSECA MARTHA L Manager 6303 Blue Lagoon Drive, Miami, FL, 33126
LAKE MICHELLE C Manager 6303 Blue Lagoon Drive, Miami, FL, 33126
ABETY MIRIAM F Manager 6303 Blue Lagoon Drive, Miami, FL, 33126

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-07 6303 Blue Lagoon Drive, Suite 400, Miami, FL 33126 No data
CHANGE OF MAILING ADDRESS 2022-04-02 6303 Blue Lagoon Drive, Suite 400, Miami, FL 33126 No data
REGISTERED AGENT ADDRESS CHANGED 2022-04-02 6303 Blue Lagoon Drive, Suite 400 - #2432, Miami, FL 33126 No data

Documents

Name Date
ANNUAL REPORT 2024-03-18
ANNUAL REPORT 2023-04-07
ANNUAL REPORT 2022-04-02
ANNUAL REPORT 2021-04-16
ANNUAL REPORT 2020-06-22
ANNUAL REPORT 2019-04-05
ANNUAL REPORT 2018-03-18
ANNUAL REPORT 2017-04-02
Florida Limited Liability 2016-03-31

Date of last update: 02 Feb 2025

Sources: Florida Department of State