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JCW MENTAL HEALTH LLC

Company Details

Entity Name: JCW MENTAL HEALTH LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 18 Mar 2021 (4 years ago)
Document Number: L21000128564
FEI/EIN Number 86-2926449
Mail Address: 19812 SW 121ST AVE, MIAMI, FL, 33177, US
Address: 7392 NW 35TH TERRACE, MIAMI, FL, 33122, US
ZIP code: 33122
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285308965 2021-08-05 2023-01-12 19812 SW 121ST AVE, MIAMI, FL, 331774355, US 7392 NW 35TH TER STE 303, MIAMI, FL, 331221260, US

Contacts

Phone +1 786-695-2202
Fax 7865367615

Authorized person

Name CHABELY D TAPANES PRADO
Role PRESIDENT
Phone 7866952202

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role Address
TAPANES PRADO CHABELY D Agent 19812 SW 121ST AVE, MIAMI, FL, 33177

Authorized Member

Name Role Address
TAPANES PRADO CHABELY D Authorized Member 19812 SW 121ST AVE, MIAMI, FL, 33177

Manager

Name Role Address
MORENO LOPEZ JUAN C Manager 19812 SW 121ST AVE, MIAMI, FL, 33177

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-07-18 7392 NW 35TH TERRACE, UNIT #303, MIAMI, FL 33122 No data

Documents

Name Date
ANNUAL REPORT 2024-04-03
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-03-20
Florida Limited Liability 2021-03-18

Date of last update: 02 Feb 2025

Sources: Florida Department of State