Entity Name: | ALTHA MENTAL HEALTH INSTITUTE LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 12 Nov 2019 (5 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 03 Mar 2024 (a year ago) |
Document Number: | L19000279996 |
FEI/EIN Number | 84-3839387 |
Address: | 21301 Powerline RD, #103, Boca Raton, FL 33441 |
Mail Address: | 21301 Powerline RD, #103, Boca Raton, FL 33441 |
ZIP code: | 33441 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1699531905 | 2024-02-23 | 2024-02-23 | 21301 POWERLINE RD STE 103, BOCA RATON, FL, 334332389, US | 21301 POWERLINE RD STE 103, BOCA RATON, FL, 334332389, US | |||||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 561-441-1539 |
Authorized person
Name | ROBERTA P DECASTRO |
Role | CEO |
Phone | 5614411539 |
Taxonomy
Taxonomy Code | 101Y00000X - Counselor |
Is Primary | No |
Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
Is Primary | No |
Taxonomy Code | 163WP0807X - Child & Adolescent Psychiatric/Mental Health Registered Nurse |
Is Primary | No |
Taxonomy Code | 163WP0808X - Psychiatric/Mental Health Registered Nurse |
Is Primary | No |
Taxonomy Code | 163WP0809X - Adult Psychiatric/Mental Health Registered Nurse |
Is Primary | No |
Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
Is Primary | No |
Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
Is Primary | Yes |
Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
Is Primary | No |
Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
Is Primary | No |
Name | Role | Address |
---|---|---|
DECASTRO, ROBERTA | Agent | 1316 S DEERFIELD AVE, DEERFIELD BEACH, FL 33441 |
Name | Role | Address |
---|---|---|
DE CASTRO, ROBERTA | Manager | 1316 S DEERFIELD AVE, DEERFIELD BEACH, FL 33441 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2025-02-10 | 21301 Powerline RD, #103, Boca Raton, FL 33441 | No data |
CHANGE OF MAILING ADDRESS | 2025-02-10 | 21301 Powerline RD, #103, Boca Raton, FL 33441 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2024-03-11 | 21301 Powerline RD, #301, Boca Raton, FL 33441 | No data |
CHANGE OF MAILING ADDRESS | 2024-03-11 | 21301 Powerline RD, #301, Boca Raton, FL 33441 | No data |
REGISTERED AGENT NAME CHANGED | 2024-03-03 | DECASTRO, ROBERTA | No data |
REINSTATEMENT | 2024-03-03 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
REINSTATEMENT | 2022-12-08 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2025-02-10 |
REINSTATEMENT | 2024-03-03 |
REINSTATEMENT | 2022-12-08 |
Florida Limited Liability | 2019-11-12 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State