| Entity Name: | TANDEM BEHAVIORAL HEALTH & WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 01 Apr 2019 (6 years ago) |
| Date of dissolution: | 12 Apr 2024 (10 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 12 Apr 2024 (10 months ago) |
| Document Number: | L19000088503 |
| FEI/EIN Number | 47-5056506 |
| Address: | 802 West Henry Ave, Tampa, FL, 33604, US |
| Mail Address: | 802 West Henry Ave, Tampa, FL, 33604, US |
| ZIP code: | 33604 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649649989 | 2015-09-16 | 2015-09-16 | 13807 SHADY SHORES DR, TAMPA, FL, 336134141, US | 13807 SHADY SHORES DR, TAMPA, FL, 336134141, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 813-388-1051 |
Authorized person
| Name | DR. TIMOTHY M WEIL |
| Role | OWNER/CLINICAL DIRECTOR |
| Phone | 8133881051 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| License Number | 1-04-1653 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WEIL TIMOTHY Dr. | Agent | 802 West Henry Ave, Tampa, FL, 33604 |
| Name | Role | Address |
|---|---|---|
| WEIL TIMOTHY Dr. | Manager | 802 West Henry Ave, Tampa, FL, 33604 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-04-12 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-22 | 802 West Henry Ave, Tampa, FL 33604 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-22 | 802 West Henry Ave, Tampa, FL 33604 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-22 | 802 West Henry Ave, Tampa, FL 33604 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-04-28 | WEIL, TIMOTHY, Dr. | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J22000103194 | TERMINATED | 1000000915720 | HILLSBOROU | 2022-02-19 | 2032-03-02 | $ 639.92 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 5483 W WATERS AVE STE 1210, TAMPA FL336341236 |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-04-12 |
| ANNUAL REPORT | 2024-04-12 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-04-18 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-04-28 |
| Florida Limited Liability | 2019-04-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
