| Entity Name: | MONARCH MENTAL HEALTH SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 01 May 2020 (5 years ago) |
| Date of dissolution: | 17 Nov 2020 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 17 Nov 2020 (4 years ago) |
| Document Number: | L20000117999 |
| FEI/EIN Number | 85-0888703 |
| Address: | 1314 E. LAS OLAS BLVD, FOR LAUDERDALE, FL 33301 |
| Mail Address: | 4857 NW 67TH AVENUE, LAUDERHILL, FL 33319 UN |
| ZIP code: | 33301 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386265122 | 2020-05-04 | 2020-05-22 | 1314 E LAS OLAS BLVD, FORT LAUDERDALE, FL, 333012334, US | 648 NW 183 ST, MIAMI, FL, 33169, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 954-973-5533 |
| Fax | 9543373721 |
Authorized person
| Name | MRS. CLAUDENIE MONDESIR |
| Role | PHYSICIAN ASSISTANT/OWNER |
| Phone | 9549735533 |
Taxonomy
| Taxonomy Code | 363AM0700X - Medical Physician Assistant |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1952715682 |
| State | FL |
| Issuer | NPI |
| Number | 1447695184 |
| State | FL |
| Issuer | NPI |
| Number | 1225398852 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MONDESIR, CLAUDENIE | Agent | 4857 NW 67TH AVENUE, LAUDERHILL, FL 33319 |
| Name | Role | Address |
|---|---|---|
| MONDESIR, CLAUDENIE | Manager | 4857 NW 67TH AVENUE, LAUDERHILL, FL 33319 UN |
| MARSHALL, LISA | Manager | 325 SW 185TH AVENUE, PEMBROKE PINES, FL 33029 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-11-17 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-11-17 |
| Florida Limited Liability | 2020-05-01 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
