| Entity Name: | MENDOZA BEHAVIORAL HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MENDOZA BEHAVIORAL HEALTH LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 03 Apr 2017 (8 years ago) |
| Date of dissolution: | 27 Sep 2019 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (6 years ago) |
| Document Number: | L17000073897 |
| FEI/EIN Number |
82-1197096
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 140 S. BEACH STREET,, SUITE 402, DAYTONA BEACH, FL, 32114, US |
| Mail Address: | 210 S BEACH STREET, DAYTONA BEACH, FL, 32114, US |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295262137 | 2017-05-22 | 2019-06-11 | 110 ORANGE AVE, DAYTONA BEACH, FL, 321144310, US | 110 ORANGE AVE, DAYTONA BEACH, FL, 321144310, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 386-256-4326 |
Authorized person
| Name | LIANA MENDOZA |
| Role | PSYCHIATRIST |
| Phone | 3862542637 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ACN216 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 280152300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LIANA MENDOZA M.D | Manager | 210 S BEACH STREET, DAYTONA BEACH, FL, 32114 |
| MENDOZA LIANA MD | Agent | 210 S BEACH STREET, DAYTONA BEACH, FL, 32114 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| LC DISSOCIATION MEM | 2018-10-15 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-10-03 | 140 S. BEACH STREET,, SUITE 402, DAYTONA BEACH, FL 32114 | - |
| CHANGE OF MAILING ADDRESS | 2018-10-03 | 140 S. BEACH STREET,, SUITE 402, DAYTONA BEACH, FL 32114 | - |
| REGISTERED AGENT NAME CHANGED | 2018-10-03 | MENDOZA, LIANA, MD | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-10-03 | 210 S BEACH STREET, SUITE 202, DAYTONA BEACH, FL 32114 | - |
| REINSTATEMENT | 2018-10-03 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | - | - |
| Name | Date |
|---|---|
| CORLCDSMEM | 2018-10-15 |
| REINSTATEMENT | 2018-10-03 |
| Florida Limited Liability | 2017-04-03 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
