| Entity Name: | CDM BEHAVIORAL MANAGEMENT LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 09 Jan 2020 (5 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L20000016112 |
| Address: | 1250 W 53RD ST, APT 18, HIALEAH, FL, 33012 |
| Mail Address: | 1250 W 53RD ST, APT 18, HIALEAH, FL, 33012 |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346868106 | 2020-07-08 | 2020-07-08 | 1250 W 53RD ST APT 18, HIALEAH, FL, 330123086, US | 1250 W 53RD ST APT 18, HIALEAH, FL, 330123086, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 305-804-4708 |
Authorized person
| Name | DAINERIS VALERA RIVERO |
| Role | BUSINESS MANAGER |
| Phone | 3058044708 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 2004201983 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DIEGO MARTINEZ CLAUDIA M | Agent | 1250 W 53RD ST, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| DIEGO MARTINEZ CLAUDIA M | Manager | 8820 SW 113TH PL CIR E, MIAMI, FL, 33176 |
| VALERA RIVERO DAINERIS | Manager | 1250 W 53RD ST, HIALEAH, FL, 33012 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2020-01-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
