| Entity Name: | NIRVANA MENTAL HEALTH SERVICES, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Oct 2020 (4 years ago) |
| Document Number: | L20000330994 |
| FEI/EIN Number | 85-3519197 |
| Address: | 3409 Powerline Rd, Fort Lauderdale, FL, 33309, US |
| Mail Address: | 3409 Powerline Rd, Fort Lauderdale, FL, 33309, US |
| ZIP code: | 33309 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811599277 | 2020-11-11 | 2024-07-01 | 3409 POWERLINE RD STE 1104, FORT LAUDERDALE, FL, 333095945, US | 3409 POWERLINE RD STE 1104, FORT LAUDERDALE, FL, 333095945, US | |||||||||||||||||||
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| Phone | +1 561-962-0792 |
| Fax | 5615372512 |
Authorized person
| Name | MIRENA MONZON |
| Role | MEMBER |
| Phone | 7863429092 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MONZON MIRENA | Agent | 3409 Powerline Rd, Fort Lauderdale, FL, 33309 |
| Name | Role | Address |
|---|---|---|
| MONZON MIRENA | Manager | 3409 Powerline Rd, Fort Lauderdale, FL, 33309 |
| PEREZ VICTORIA | Manager | 3409 Powerline Rd, Fort Lauderdale, FL, 33309 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-04 | 3409 Powerline Rd, Ste 1104, Fort Lauderdale, FL 33309 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-04 | 3409 Powerline Rd, Ste 1104, Fort Lauderdale, FL 33309 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-04 | 3409 Powerline Rd, Ste 1104, Fort Lauderdale, FL 33309 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-02-11 |
| ANNUAL REPORT | 2022-02-15 |
| ANNUAL REPORT | 2021-02-05 |
| Florida Limited Liability | 2020-10-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
