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GOLDEN PHOENIX MENTAL HEALTH LLC***** - Florida Company Profile

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Company Details

Entity Name: GOLDEN PHOENIX MENTAL HEALTH LLC*****
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 27 Oct 2020 (5 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 16 Sep 2021 (4 years ago)
Document Number: L20000331224
FEI/EIN Number 85-3533919
Address: 2100 W 76TH ST, HIALEAH, FL, 33016, US
Mail Address: 2100 W 76TH ST, HIALEAH, FL, 33016, US
ZIP code: 33016
City: Hialeah
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
INGRID CRUZ UGUET Agent 2100 W 76TH ST, HIALEAH, FL, 33016
CRUZ UGUET INGRID Authorized Member 2100 W 76TH ST, HIALEAH, FL, 33016

National Provider Identifier

NPI Number:
1861080319
Certification Date:
2025-06-11

Authorized Person:

Name:
INGRID CRUZ UGUET
Role:
AUTHORIZED OFFICIAL
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No

Contacts:

Fax:
7869572909
Fax:
7863532863

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2025-02-13 2100 W 76TH ST, 201, HIALEAH, FL 33016 -
REGISTERED AGENT ADDRESS CHANGED 2025-02-13 2100 W 76TH ST, 201, HIALEAH, FL 33016 -
CHANGE OF PRINCIPAL ADDRESS 2025-02-13 2100 W 76TH ST, 201, HIALEAH, FL 33016 -
CHANGE OF PRINCIPAL ADDRESS 2023-09-26 2100 W 76TH ST, # 201, 202, 203, 204, 205 & 206, HIALEAH, FL 33016 -
LC AMENDMENT 2021-09-16 - -
REGISTERED AGENT ADDRESS CHANGED 2021-04-20 8051 W 24th Ave, Suite 11, HIALEAH, FL 33016 -
CHANGE OF MAILING ADDRESS 2021-04-20 2100 W 76TH ST, # 201, 202, 203, 204, 205 & 206, HIALEAH, FL 33016 -

Documents

Name Date
AMENDED ANNUAL REPORT 2025-02-13
ANNUAL REPORT 2025-02-05
ANNUAL REPORT 2024-01-30
AMENDED ANNUAL REPORT 2023-09-26
ANNUAL REPORT 2023-03-22
ANNUAL REPORT 2022-04-03
LC Amendment 2021-09-16
ANNUAL REPORT 2021-04-20
Florida Limited Liability 2020-10-27

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Date of last update: 02 Aug 2025

Sources: Florida Department of State