| Entity Name: | FENIX BEHAVIORAL HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 May 2016 (9 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 03 Dec 2018 (6 years ago) |
| Document Number: | L16000105932 |
| FEI/EIN Number | 81-2830558 |
| Address: | 1230 E Shore Dr, West Palm Beach, FL, 33406-5127, US |
| Mail Address: | 1230 E. Shore Dr, WEST PALM BEACH, FL, 33406, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164874129 | 2016-07-01 | 2019-12-17 | 725 DOBBINS ST, WEST PALM BEACH, FL, 334052831, US | 2247 PALM BEACH LAKES BLVD STE 205, WEST PALM BEACH, FL, 334093409, US | |||||||||||||||||||||||
|
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| Phone | +1 561-860-8525 |
| Phone | +1 561-421-4132 |
| Fax | 5617748265 |
Authorized person
| Name | ASER ONES |
| Role | OWNER |
| Phone | 5614214132 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1164874129 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ONES ASER Sr. | Agent | 1230 E Shore Dr., WEST PALM BEACH, FL, 33406 |
| Name | Role | Address |
|---|---|---|
| ONES ASER | Authorized Member | 1230 E Shore Dr., WEST PALM BEACH, FL, 33406 |
| Name | Role | Address |
|---|---|---|
| ONES GLADYS | Authorized Person | 1230 E. Shore Dr., WEST PALM BEACH, FL, 33406 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-06 | 1230 E Shore Dr, West Palm Beach, FL 33406-5127 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-24 | 1230 E Shore Dr, West Palm Beach, FL 33406-5127 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-24 | 1230 E Shore Dr., WEST PALM BEACH, FL 33406 | No data |
| REINSTATEMENT | 2018-12-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-12-03 | ONES, ASER, Sr. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-06 |
| ANNUAL REPORT | 2024-01-06 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-01-06 |
| ANNUAL REPORT | 2021-01-04 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-06-19 |
| REINSTATEMENT | 2018-12-03 |
| ANNUAL REPORT | 2017-01-09 |
| Florida Limited Liability | 2016-05-31 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
