| Entity Name: | BEHAVIORAL HEALTH & WELLNESS OF SOUTH FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 07 May 2018 (7 years ago) |
| Date of dissolution: | 08 Apr 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 08 Apr 2021 (4 years ago) |
| Document Number: | L18000113625 |
| FEI/EIN Number | 83-0732455 |
| Address: | 11890 SW 8TH STREET, #403, MIAMI, FL 33184 |
| Mail Address: | 11890 SW 8TH STREET, #403, MIAMI, FL 33184 |
| ZIP code: | 33184 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609439140 | 2019-04-19 | 2019-04-19 | 11285 SW 211TH ST # 202, MIAMI, FL, 331892211, US | 11285 SW 211TH ST # 202, MIAMI, FL, 331892211, US | |||||||||||||||
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| Phone | +1 786-592-1001 |
| Fax | 7865921024 |
Authorized person
| Name | GRACE DIAZ |
| Role | CEO |
| Phone | 3059247299 |
Taxonomy
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DIAZ, GRACE | Agent | 16258 SW 61ST LN, MIAMI, FL 33193 |
| Name | Role | Address |
|---|---|---|
| DIAZ, GRACE | Manager | 16258 SW 61ST LN, MIAMI, FL 33193 |
| Name | Role | Address |
|---|---|---|
| GRISALES, LUIS | Authorized Member | 16258 SW 61ST LN, MIAMI, FL 33193 |
| BULKIN, LEONID | Authorized Member | 3000 S OCEAN DRIVE, APT 1016 HOLLYWOOD, FL 33019 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-04-08 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-30 | 11890 SW 8TH STREET, #403, MIAMI, FL 33184 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-30 | 11890 SW 8TH STREET, #403, MIAMI, FL 33184 | No data |
| LC AMENDMENT | 2018-05-29 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-04-08 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-05-01 |
| LC Amendment | 2018-05-29 |
| Florida Limited Liability | 2018-05-07 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
