| Entity Name: | EVOLUTIONS HEALTH GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 20 Mar 2017 (8 years ago) |
| Date of dissolution: | 15 Jan 2018 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 15 Jan 2018 (7 years ago) |
| Document Number: | L17000063494 |
| FEI/EIN Number | 820710957 |
| Address: | 720 SOUTH DIXIE HWY, LANTANA, FL, 33462, US |
| Mail Address: | 720 SOUTH DIXIE HWY, LANTANA, FL, 33462, US |
| ZIP code: | 33462 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568994887 | 2017-03-28 | 2017-03-28 | 720 S DIXIE HWY, STE 1, LANTANA, FL, 334624652, US | 720 S DIXIE HWY, STE 1, LANTANA, FL, 334624652, US | |||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||
| Phone | +1 561-619-5858 |
| Fax | 5618283154 |
Authorized person
| Name | VERONICA HERNANDEZ |
| Role | BILLING MANAGER |
| Phone | 9542033584 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| Is Primary | No |
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | Yes |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Taxonomy Code | 2084A0401X - Addiction Medicine (Psychiatry & Neurology) Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| TUNICK JASON | Agent | 720 SOUTH DIXIE HWY, LANTANA, FL, 33462 |
| Name | Role | Address |
|---|---|---|
| TUNICK JASON | Manager | 720 SOUTH DIXIE HWY, SUITE1, LANTANA, FL, 33462 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2018-01-15 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-06-29 | 720 SOUTH DIXIE HWY, SUITE 3, LANTANA, FL 33462 | No data |
| CHANGE OF MAILING ADDRESS | 2017-06-29 | 720 SOUTH DIXIE HWY, SUITE 3, LANTANA, FL 33462 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2017-03-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
