| Entity Name: | GENESIS MENTAL HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 12 Jan 2021 (4 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L21000010247 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 4888 NW 183 ST SUITE #108, MIAMI GARDENS, FL 33055 |
| Mail Address: | 5030 SW 170TH AVE, SOUTHWEST RANCHES, FL 33331 |
| ZIP code: | 33055 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265023477 | 2021-01-30 | 2021-12-14 | 4888 NW 183RD ST STE 108, MIAMI GARDENS, FL, 330552939, US | 4888 NW 183RD ST STE 108, MIAMI GARDENS, FL, 330552939, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 786-202-5536 |
Authorized person
| Name | MAYRELIS PRIETO |
| Role | PRESIDENT |
| Phone | 7862025536 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PRIETO, MAYRELIS | Agent | 5030 SW 170TH AVE, SOUTHWEST RANCHES, FL 33331 |
| Name | Role | Address |
|---|---|---|
| PRIETO, MAYRELIS | Authorized Member | 5030 SW 170TH AVE, SOUTHWEST RANCHES, FL 33331 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| LC AMENDMENT | 2021-12-13 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-12-13 | 4888 NW 183 ST SUITE #108, MIAMI GARDENS, FL 33055 | No data |
| LC AMENDMENT | 2021-02-08 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-05-01 |
| LC Amendment | 2021-12-13 |
| LC Amendment | 2021-02-08 |
| Florida Limited Liability | 2021-01-12 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
