| Entity Name: | MY MENTAL HEALTH SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Feb 2021 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 24 Oct 2022 (2 years ago) |
| Document Number: | L21000070876 |
| FEI/EIN Number | 86-2170297 |
| Address: | 760 NW 107th ST, STE 100, MIAMI, FL, 33172, US |
| Mail Address: | 760 NW 107th ST, STE 100, MIAMI, FL, 33172, US |
| ZIP code: | 33172 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306583083 | 2022-05-16 | 2022-05-18 | 3083 NEVERLAND DR, NEW SMYRNA, FL, 321682442, US | 801 INTERNATIONAL PARKWAY, FIFTH FLOOR, LAKE MARY, FL, 327464762, US | |||||||||||||||||||||||||||
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| Phone | +1 786-393-0315 |
Authorized person
| Name | ANGELA MARIA HANSEN |
| Role | CLINICAL ADMINISTRATOR/OWNER |
| Phone | 7863930315 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 109795800 |
| State | FL |
| Name | Role |
|---|---|
| QFP ACCOUNTING SERVICES LLC | Agent |
| Name | Role | Address |
|---|---|---|
| ALVAREZ MENENDEZ ALEXANDER | Manager | 15605 SW 26TH TER, MIAMI, FL, 33185 |
| DIAZ ACOSTA JORGE L | Manager | 4731 SW 143RD CT, Miami, FL, 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-09-13 | 760 NW 107th ST, STE 100, MIAMI, FL 33172 | No data |
| CHANGE OF MAILING ADDRESS | 2023-09-13 | 760 NW 107th ST, STE 100, MIAMI, FL 33172 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-06-05 | QFP Accounting Services LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-06-05 | 6921 SW 155TH AVE, MIAMI FL, FL 33193 | No data |
| LC AMENDMENT | 2022-10-24 | No data | No data |
| LC AMENDMENT | 2022-05-24 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-09-20 |
| AMENDED ANNUAL REPORT | 2024-09-04 |
| ANNUAL REPORT | 2024-01-09 |
| AMENDED ANNUAL REPORT | 2023-09-13 |
| AMENDED ANNUAL REPORT | 2023-08-18 |
| AMENDED ANNUAL REPORT | 2023-08-09 |
| AMENDED ANNUAL REPORT | 2023-06-05 |
| ANNUAL REPORT | 2023-03-28 |
| AMENDED ANNUAL REPORT | 2022-11-14 |
| LC Amendment | 2022-10-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
