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EHL PSYCHIATRY LLC

Company Details

Entity Name: EHL PSYCHIATRY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 12 Dec 2017 (7 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 16 Jan 2018 (7 years ago)
Document Number: L17000254088
FEI/EIN Number 82-3678640
Address: 252 NW 29 ST FL 9, MIAMI, FL 33127
Mail Address: 252 NW 29 ST FL 9, MIAMI, FL 33127
ZIP code: 33127
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346958303 2022-11-09 2022-11-09 252 NW 29TH ST STE 949, MIAMI, FL, 331273904, US 252 NW 29TH ST STE 949, MIAMI, FL, 331273904, US

Contacts

Phone +1 877-990-0001
Fax 8779903013

Authorized person

Name MR. CHRIS LEE
Role CEO
Phone 8779900001

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary No
Taxonomy Code 363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
LEE, CHRIS, APRN Agent 252 NW 29 ST FL 9, MIAMI, FL 33127

Authorized Member

Name Role Address
LEE, CHRIS, APRN Authorized Member 252 NW 29 ST FL 9, MIAMI, FL 33127

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000074186 DREAMCLOUD ACTIVE 2024-06-16 2029-12-31 No data 252 NW 29TH ST FL 9, FL9, MIAMI, FL, 33127
G24000074188 DREAMCLOUD PSYCHIATRY ACTIVE 2024-06-16 2029-12-31 No data 252 NW 29 ST, FL9, MIAMI, FL, 33127
G22000101931 DREAMCLOUD ACTIVE 2022-08-28 2027-12-31 No data 252 NW 29 ST, STE 949, MIAMI, FL, 33127
G17000137772 DREAMCLOUD PSYCHIATRY ACTIVE 2017-12-16 2027-12-31 No data 252 NW 29 ST, STE 949, MIAMI, FL, 33127
G17000137216 DREAMCLOUD PSYCHIATRY EXPIRED 2017-12-15 2022-12-31 No data DREAMCLOUD PSYCHIATRY, 2312 WILTON DRIVE SUITE 14B, WILTON MANORS, FL, 33305

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-05-01 252 NW 29 ST FL 9, MIAMI, FL 33127 No data
CHANGE OF MAILING ADDRESS 2023-05-01 252 NW 29 ST FL 9, MIAMI, FL 33127 No data
REGISTERED AGENT ADDRESS CHANGED 2023-05-01 252 NW 29 ST FL 9, MIAMI, FL 33127 No data
REGISTERED AGENT NAME CHANGED 2020-04-24 LEE, CHRIS, APRN No data
LC STMNT OF RA/RO CHG 2018-01-16 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-06
ANNUAL REPORT 2023-05-01
AMENDED ANNUAL REPORT 2022-10-08
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-02-19
ANNUAL REPORT 2020-04-24
ANNUAL REPORT 2019-04-25
ANNUAL REPORT 2018-04-30
CORLCRACHG 2018-01-16
Florida Limited Liability 2017-12-12

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3666727706 2020-05-01 0455 PPP DreamCloud Psychiatry 429 Lenox Avenue, Suite 452, Miami Beach, FL, 33139
Loan Status Date 2021-03-12
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 4962.2
Loan Approval Amount (current) 4962.2
Undisbursed Amount 0
Franchise Name -
Lender Location ID 529050
Servicing Lender Name Square Capital, LLC
Servicing Lender Address 1455 Market Street, Suite 600, San Francisco, CA, 94103
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Miami Beach, MIAMI-DADE, FL, 33139-0700
Project Congressional District FL-24
Number of Employees 2
NAICS code 999990
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 223542
Originating Lender Name Celtic Bank Corporation
Originating Lender Address SALT LAKE CITY, UT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 5002.99
Forgiveness Paid Date 2021-03-02

Date of last update: 17 Feb 2025

Sources: Florida Department of State