| Entity Name: | SHAPING LIVES BEHAVIORAL HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 26 Jul 2018 (7 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L18000180000 |
| FEI/EIN Number | 83-1406175 |
| Address: | 7742 N. KENDALL DRIVE, 422, MIAMI, FL 33156 |
| Mail Address: | 7742 N. KENDALL DRIVE, 422, MIAMI, FL 33156 |
| ZIP code: | 33156 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942789516 | 2018-08-14 | 2019-02-27 | 7742 N KENDALL DR # 422, MIAMI, FL, 331567523, US | 7600 S RED RD STE 208, SOUTH MIAMI, FL, 331435408, US | |||||||||||||||||||||||
|
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| Phone | +1 786-598-7171 |
| Phone | +1 305-345-3751 |
Authorized person
| Name | CARLOS ORTIZ |
| Role | PRESIDENT |
| Phone | 3053453751 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH15356 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ALVAREZ & ASSOCIATES CPAS PA | Agent | 6401 SW 87 AVE, 121, MIAMI, FL 33173 |
| Name | Role | Address |
|---|---|---|
| SLBH HOLDINGS LLC | Authorized Member | 7742 N. Kendall Drive, 422 Miami, FL 33156 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-02-19 | ALVAREZ & ASSOCIATES CPAS PA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-19 | 6401 SW 87 AVE, 121, MIAMI, FL 33173 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-15 |
| ANNUAL REPORT | 2020-06-22 |
| ANNUAL REPORT | 2019-02-19 |
| Florida Limited Liability | 2018-07-26 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
