| Entity Name: | EMERGE RECOVERY WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 08 Nov 2016 (8 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L16000205571 |
| FEI/EIN Number | 81-4355674 |
| Address: | 1280 N CONGRESS AVENUE, 105, WEST PALM BEACH, FL, 33409, US |
| Mail Address: | 1280 N CONGRESS AVENUE, 105, WEST PALM BEACH, FL, 33409, US |
| ZIP code: | 33409 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740720234 | 2017-03-02 | 2017-03-07 | 1280 N CONGRESS AVE, SUITE 108, WEST PALM BEACH, FL, 334096377, US | 1280 N CONGRESS AVE, SUITE 108, WEST PALM BEACH, FL, 334096377, US | |||||||||||||||||||||||||
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| Phone | +1 561-228-1598 |
Authorized person
| Name | GWEN PHILLIPS |
| Role | CEO |
| Phone | 5612281598 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Lewis Michael P | Agent | 1280 NORTH CONGRESS AVENUE, WEST PALM BEACH, FL, 33409 |
| Name | Role | Address |
|---|---|---|
| LEWIS MICHAEL P | Chief Financial Officer | 1280 N CONGRESS AVENUE, SUITE 105, WEST PALM BEACH, FL, 33409 |
| Name | Role | Address |
|---|---|---|
| PHILLIPS GWENDOLYN P | Chief Executive Officer | 1280 N CONGRESS AVENUE, SUITE 105, WEST PALM BEACH, FL, 33409 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-02-18 | 1280 N CONGRESS AVENUE, 105, WEST PALM BEACH, FL 33409 | No data |
| CHANGE OF MAILING ADDRESS | 2017-02-18 | 1280 N CONGRESS AVENUE, 105, WEST PALM BEACH, FL 33409 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-02-18 | Lewis, Michael P | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-02-18 | 1280 NORTH CONGRESS AVENUE, SUITE 105, WEST PALM BEACH, FL 33409 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-02-18 |
| Florida Limited Liability | 2016-11-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
