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PHASES DETOX, LLC

Company Details

Entity Name: PHASES DETOX, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 15 Aug 2016 (8 years ago)
Date of dissolution: 02 Jul 2018 (7 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 02 Jul 2018 (7 years ago)
Document Number: L16000151765
FEI/EIN Number 81-3579515
Mail Address: 718 FRANKLIN ROAD, WEST PALM BEACH, FL, 33405, US
Address: 1870 FOREST HILL BLVD. #204, WEST PALM BEACH, FL, 33406, US
ZIP code: 33406
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265968408 2017-05-09 2017-05-09 718 FRANKLIN RD, WEST PALM BEACH, FL, 334054208, US 1870 FOREST HILL BLVD, SUITE 204, WEST PALM BEACH, FL, 334068901, US

Contacts

Phone +1 732-910-1427

Authorized person

Name SHANE KOHAN
Role OWNER
Phone 7329101427

Taxonomy

Taxonomy Code 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
Is Primary Yes

Agent

Name Role
UNITED STATES CORPORATION AGENTS, INC. Agent

Authorized Member

Name Role Address
KOHAN SHANE Authorized Member 1870 FOREST HILL BLVD. #204, WEST PALM BEACH, FL, 33406

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-02-03 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 No data
VOLUNTARY DISSOLUTION 2018-07-02 No data No data
LC AMENDMENT 2016-11-28 No data No data
CHANGE OF PRINCIPAL ADDRESS 2016-11-28 1870 FOREST HILL BLVD. #204, WEST PALM BEACH, FL 33406 No data

Documents

Name Date
ANNUAL REPORT 2017-04-11
LC Amendment 2016-11-28
Florida Limited Liability 2016-08-15

Date of last update: 02 Feb 2025

Sources: Florida Department of State