| Entity Name: | INTEGRATIVE MENTAL HEALTH GROUP PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Aug 2020 (4 years ago) |
| Document Number: | L20000246536 |
| FEI/EIN Number | 85-2717136 |
| Address: | 10031 PINES BOULEVARD, Pembroke PInes, FL, 33024, US |
| Mail Address: | 10031 PINES BOULEVARD, Pembroke PInes, FL, 33024, US |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205585114 | 2022-03-20 | 2022-03-20 | 1931 NW 150TH AVE STE 272, PEMBROKE PINES, FL, 330282885, US | 1931 NW 150TH AVE STE 272, PEMBROKE PINES, FL, 330282885, US | |||||||||||||
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| Phone | +1 954-588-8821 |
Authorized person
| Name | EMMANUETTE JOHNSON |
| Role | MENTAL HEALTH THERAPIST |
| Phone | 9545888821 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOHNSON EMMANUETTE | Agent | 10031 PINES BOULEVARD, Pembroke PInes, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| JOHNSON EMMANUETTE | Authorized Member | 10031 PINES BOULEVARD, Pembroke PInes, FL, 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-07 | 10031 PINES BOULEVARD, 224, Pembroke PInes, FL 33024 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-09-21 | 10031 PINES BOULEVARD, 224, Pembroke PInes, FL 33024 | No data |
| CHANGE OF MAILING ADDRESS | 2022-09-21 | 10031 PINES BOULEVARD, 224, Pembroke PInes, FL 33024 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-07 |
| ANNUAL REPORT | 2023-03-28 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-04-01 |
| Florida Limited Liability | 2020-08-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
