| Entity Name: | MOVIMENTUM PSYCHOLOGY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 29 Jan 2019 (6 years ago) |
| Date of dissolution: | 14 Feb 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 14 Feb 2023 (2 years ago) |
| Document Number: | L19000024182 |
| FEI/EIN Number | 853369353 |
| Address: | 14004 OVIEDO PL, FORT MYERS, FL, 33905, US |
| Mail Address: | 14004 OVIEDO PL, FORT MYERS, FL, 33905, US |
| ZIP code: | 33905 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326646654 | 2020-10-09 | 2021-01-14 | 1317 EDGEWATER DR STE 902, ORLANDO, FL, 328046350, US | 1317 EDGEWATER DR UNIT 902, ORLANDO, FL, 328046350, US | |||||||||||||||||||||||
|
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| Phone | +1 509-851-5084 |
| Phone | +1 239-329-8742 |
Authorized person
| Name | ANGELIQUE MELENDEZ-BLANCH |
| Role | MANAGER/CO-OWNER |
| Phone | 5098515084 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1467899195 |
| Issuer | NPI |
| Number | 1487095550 |
| Name | Role | Address |
|---|---|---|
| BLANCH ANGELIQUE M | Agent | 14004 OVIEDO PL, FORT MYERS, FL, 33905 |
| Name | Role | Address |
|---|---|---|
| MELENDEZ-BLANCH ANGELIQUE | Manager | 14004 OVIEDO PL, FORT MYERS, FL, 33905 |
| LOPEZ-DELGADO YARLENE | Manager | 1317 EDGEWATER DR, ORLANDO, FL, 32804 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-02-14 | No data | No data |
| LC STMNT OF RA/RO CHG | 2021-11-01 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-11-01 | BLANCH, ANGELIQUE MELENDEZ | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-08-19 | 14004 OVIEDO PL, FORT MYERS, FL 33905 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-02 | 14004 OVIEDO PL, FORT MYERS, FL 33905 | No data |
| LC AMENDMENT | 2020-09-23 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-02-14 |
| ANNUAL REPORT | 2022-01-25 |
| CORLCRACHG | 2021-11-01 |
| ANNUAL REPORT | 2021-04-01 |
| LC Amendment | 2020-09-23 |
| ANNUAL REPORT | 2020-08-31 |
| Florida Limited Liability | 2019-01-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
