| Entity Name: | TYLA MENTAL HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 30 Oct 2017 (7 years ago) |
| Document Number: | L17000224301 |
| FEI/EIN Number | 82-3237359 |
| Address: | 4703 ARTESA WAY E, PALM BEACH GARDENS, FL 33418 |
| Mail Address: | 4703 ARTESA WAY E, PALM BEACH GARDENS, FL 33418 |
| ZIP code: | 33418 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609380526 | 2017-11-30 | 2017-11-30 | 6120 UNGERER ST, JUPITER, FL, 334586606, US | 11911 US HIGHWAY 1 STE 201-23, NORTH PALM BEACH, FL, 334082827, US | |||||||||||||||||||||||||
|
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| Phone | +1 954-534-1537 |
Authorized person
| Name | DEBI A. S. DOUGLAS |
| Role | LICENSED MENTAL HEALTH COUNSELOR |
| Phone | 9545341537 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| License Number | MCAP100339 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH12988 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DOUGLAS, DEBI | Agent | 4703 ARTESA WAY E, PALM BEACH GARDENS, FL 33418 |
| Name | Role | Address |
|---|---|---|
| DOUGLAS, DEBI | Authorized Member | 4703 ARTESA WAY E, PALM BEACH GARDENS, FL 33418 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-05 | 4703 ARTESA WAY E, PALM BEACH GARDENS, FL 33418 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-05 | 4703 ARTESA WAY E, PALM BEACH GARDENS, FL 33418 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-05 | 4703 ARTESA WAY E, PALM BEACH GARDENS, FL 33418 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-05 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-02-04 |
| ANNUAL REPORT | 2021-02-09 |
| ANNUAL REPORT | 2020-06-05 |
| ANNUAL REPORT | 2019-04-18 |
| ANNUAL REPORT | 2018-06-28 |
| Florida Limited Liability | 2017-10-30 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
