| Entity Name: | ANGEL BLUE THERAPY SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 08 Apr 2020 (5 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 21 Dec 2021 (3 years ago) |
| Document Number: | L20000099618 |
| FEI/EIN Number | 85-0708104 |
| Address: | 721 NW 21 CT, MIAMI, FL 33125 |
| Mail Address: | 721 NW 21 CT, MIAMI, FL 33125 |
| ZIP code: | 33125 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013527118 | 2020-08-04 | 2023-03-10 | 10300 SUNSET DR STE 230, MIAMI, FL, 331733003, US | 10300 SUNSET DR STE 230, MIAMI, FL, 331733003, US | |||||||||||||||||||||||
|
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| Phone | +1 786-536-5710 |
| Fax | 7864097137 |
Authorized person
| Name | ALEXANDRA FLORES |
| Role | OWNER |
| Phone | 7866632822 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| FERRER RODRIGUEZ, NOEL | Agent | 721 NW 21 CT, MIAMI, FL 33125 |
| Name | Role | Address |
|---|---|---|
| FERRER RODRIGUEZ, NOEL | Manager | 721 NW 21 CT, MIAMI, FL 33125 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-06-30 | 721 NW 21 CT, MIAMI, FL 33125 | No data |
| CHANGE OF MAILING ADDRESS | 2023-06-30 | 721 NW 21 CT, MIAMI, FL 33125 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-06-30 | 721 NW 21 CT, MIAMI, FL 33125 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-04-17 | FERRER RODRIGUEZ, NOEL | No data |
| LC AMENDMENT | 2021-12-21 | No data | No data |
| LC AMENDMENT | 2020-10-07 | No data | No data |
| LC AMENDMENT | 2020-07-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-10 |
| AMENDED ANNUAL REPORT | 2023-06-30 |
| AMENDED ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2023-03-17 |
| ANNUAL REPORT | 2022-04-13 |
| LC Amendment | 2021-12-21 |
| ANNUAL REPORT | 2021-03-11 |
| LC Amendment | 2020-10-07 |
| LC Amendment | 2020-07-14 |
| Florida Limited Liability | 2020-04-08 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
