| Entity Name: | MCW MENTAL HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Apr 2019 (6 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 29 Jul 2019 (6 years ago) |
| Document Number: | L19000103326 |
| FEI/EIN Number | 834552954 |
| Address: | 4461 Medical Center Way, West Palm Beach, FL, 33407, US |
| Mail Address: | 1701 Green Rd. Suite C, Pompano Beach, FL, 33064, US |
| ZIP code: | 33407 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962058057 | 2019-08-14 | 2019-08-14 | 1701 GREEN RD STE C, POMPANO BEACH, FL, 330641074, US | 4461 MEDICAL CENTER WAY, WEST PALM BEACH, FL, 334073280, US | |||||||||||||||
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| Phone | +1 561-453-0743 |
| Fax | 5614530743 |
Authorized person
| Name | FRANCIS ZOFRAY |
| Role | EXEC |
| Phone | 5614530743 |
Taxonomy
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Korotkevich Alexandra | Agent | 1701 GREEN RD STE C, POMPANO BEAC, FL, 33064 |
| Name | Role | Address |
|---|---|---|
| Korotkevich Alexandra | Chief Executive Officer | 1701 Green Rd. Suite C, Pompano Beach, FL, 33064 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000056555 | LEVEL UP TREATMENT WEST PALM | ACTIVE | 2020-05-21 | 2025-12-31 | No data | 4461 MEDICAL CENTER WAY, WEST PALM BEACH, FL, 33407 |
| G19000085056 | THRIVE RECOVERY CENTERS | EXPIRED | 2019-08-12 | 2024-12-31 | No data | 4461 MEDICAL CENTER WAY, WEST PALM BEACH, FL, 33407 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-07-29 | 4461 Medical Center Way, West Palm Beach, FL 33407 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-07-29 | Korotkevich, Alexandra | No data |
| CHANGE OF MAILING ADDRESS | 2020-03-24 | 4461 Medical Center Way, West Palm Beach, FL 33407 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-24 | 1701 GREEN RD STE C, POMPANO BEAC, FL 33064 | No data |
| LC AMENDMENT | 2019-07-29 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-12 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-21 |
| AMENDED ANNUAL REPORT | 2020-07-29 |
| ANNUAL REPORT | 2020-03-24 |
| LC Amendment | 2019-07-29 |
| Florida Limited Liability | 2019-04-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
