| Entity Name: | GORDIUM MENTAL HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 22 Jul 2016 (9 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L16000137885 |
| Address: | 4723 W. ATLANTIC AVE., SUITE 21, DELRAY BEACH, FL, 33445, US |
| Mail Address: | 4723 W. ATLANTIC AVE., SUITE 21, DELRAY BEACH, FL, 33445, US |
| ZIP code: | 33445 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093262586 | 2016-09-01 | 2017-03-22 | 4723 W ATLANTIC AVE ST 21, DELRAY BEACH, FL, 33445, US | 4723 W ATLANTIC AVE ST 21, DELRAY BEACH, FL, 33445, US | |||||||||||||||||
|
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| Phone | +1 561-962-1771 |
| Fax | 5612090868 |
Authorized person
| Name | ARPANA SHIVDASANI |
| Role | PHYSICIANS ASSISTANT |
| Phone | 5615620674 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ZUCKER ROBERT | Agent | 1801 N. MILITARY TRAIL, BOCA RATON, FL, 33431 |
| Name | Role | Address |
|---|---|---|
| SHIVDASANI ARPANA | Authorized Member | 4723 W. ATLANTIC AVE., DELRAY BEACH, FL, 33445 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| LC AMENDMENT | 2016-12-08 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-12-08 | 4723 W. ATLANTIC AVE., SUITE 21, DELRAY BEACH, FL 33445 | No data |
| CHANGE OF MAILING ADDRESS | 2016-12-08 | 4723 W. ATLANTIC AVE., SUITE 21, DELRAY BEACH, FL 33445 | No data |
| LC AMENDMENT AND NAME CHANGE | 2016-08-05 | GORDIUM MENTAL HEALTH LLC | No data |
| Name | Date |
|---|---|
| LC Amendment | 2016-12-08 |
| LC Amendment and Name Change | 2016-08-05 |
| Florida Limited Liability | 2016-07-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
