| Entity Name: | M.D. BEHAVIORAL HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 05 Apr 2017 (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: | L17000076698 |
| Address: | 5201 VILLAGE BLVD, SUITE B, WEST PALM BEACH, FL, 33407 |
| Mail Address: | 5201 VILLAGE BLVD, SUITE B, WEST PALM BEACH, FL, 33407 |
| ZIP code: | 33407 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770018368 | 2017-04-21 | 2017-04-21 | 5201 VILLAGE BLVD STE B, WEST PALM BEACH, FL, 334077905, US | 5201 VILLAGE BLVD STE B, WEST PALM BEACH, FL, 334077905, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 561-379-7207 |
Authorized person
| Name | DR. RACHEL NEEDLE |
| Role | EXECUTIVE DIRECTOR |
| Phone | 5613797207 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DICKERSON MARIO D | Agent | 5201 VILLAGE BLVD, WEST PALM BEACH, FL, 33407 |
| Name | Role | Address |
|---|---|---|
| NEEDLE RACHEL | Manager | 5 HARVARD CIRCLE SUITE 109, WEST PALM BEACH, FL, 33409 |
| FOGEL MELISSA | Manager | 5 HARVARD CIRCLE SUITE 109, WEST PALM BEACH, FL, 33409 |
| DICKERSON MARIO D | Manager | 5201 VILLAGE BLVD SUITE B, WEST PALM BEACH, FL, 33407 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2017-04-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
