| Entity Name: | INSTITUTE FOR INTEGRATED BEHAVIORAL HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 02 Nov 2017 (7 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | L17000227657 |
| FEI/EIN Number | 82-3300721 |
| Address: | 21033 PINE KNOT LN, LAND O LAKES, FL, 34637, US |
| Mail Address: | 21033 PINE KNOT LN, LAND O LAKES, FL, 34637, US |
| ZIP code: | 34637 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861904419 | 2017-11-03 | 2017-11-03 | 21033 PINE KNOT LN, LAND O LAKES, FL, 346377827, US | 21033 PINE KNOT LN, LAND O LAKES, FL, 346377827, US | |||||||||||||||||||
|
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| Phone | +1 919-339-8611 |
| Fax | 9193398611 |
Authorized person
| Name | VANDA MICHEL |
| Role | MEMBER |
| Phone | 9193398611 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MICHEL VANDA | Agent | 21033 PINE KNOT LN, LAND O LAKES, FL, 34637 |
| Name | Role | Address |
|---|---|---|
| MICHEL VANDA | Authorized Member | 21033 PINE KNOT LN, LAND O LAKES, FL, 34637 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REINSTATEMENT | 2022-03-29 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REINSTATEMENT | 2020-04-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-04-19 | MICHEL, VANDA | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-14 |
| REINSTATEMENT | 2022-03-29 |
| REINSTATEMENT | 2020-04-19 |
| ANNUAL REPORT | 2018-08-17 |
| Florida Limited Liability | 2017-11-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
