| Entity Name: | ASHA BEHAVIORAL HEALTH AGENCY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Jul 2017 (8 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 02 Dec 2024 (2 months ago) |
| Document Number: | L17000147275 |
| FEI/EIN Number | 82-5386321 |
| Mail Address: | 708 MONTEBELLO CIR, CHESAPEAKE, VA, 23322, US |
| Address: | 460 NE 163 street, North Miami Beach, FL, 33162, US |
| ZIP code: | 33162 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508371634 | 2017-12-12 | 2017-12-12 | 160 NW 176TH ST STE 300, MIAMI GARDENS, FL, 331695041, US | 160 NW 176TH ST STE 300, MIAMI GARDENS, FL, 331695041, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 305-249-2333 |
Authorized person
| Name | DR. MARTINE FENELON |
| Role | OWNER |
| Phone | 3055279964 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | P9127 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Fenelon Martine | Agent | 460 NE 163 street, North Miami Beach, FL, 33162 |
| Name | Role | Address |
|---|---|---|
| Fenelon Martine | Manager | 460 NE 163 st, North Miami Beach, FL, 33162 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000050186 | LIGHTHOUSE THERAPEUTIC AFTERCARE PROGRAMS | ACTIVE | 2020-05-06 | 2025-12-31 | No data | 460 NE 163, NORTH MIAMI BEACH, FL, 33162 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC NAME CHANGE | 2024-12-02 | ASHA BEHAVIORAL HEALTH AGENCY, LLC | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-15 | 460 NE 163 street, North Miami Beach, FL 33162 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-15 | 460 NE 163 street, North Miami Beach, FL 33162 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-18 | 460 NE 163 street, North Miami Beach, FL 33162 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-04-18 | Fenelon, Martine | No data |
| Name | Date |
|---|---|
| LC Name Change | 2024-12-02 |
| ANNUAL REPORT | 2024-04-13 |
| ANNUAL REPORT | 2023-04-09 |
| ANNUAL REPORT | 2022-04-15 |
| ANNUAL REPORT | 2021-04-18 |
| ANNUAL REPORT | 2020-05-28 |
| ANNUAL REPORT | 2019-01-24 |
| ANNUAL REPORT | 2018-07-12 |
| Florida Limited Liability | 2017-07-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
