| Entity Name: | RENAISSANCE MENTAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 08 Apr 2021 (4 years ago) |
| Document Number: | L21000164126 |
| FEI/EIN Number | 86-3130079 |
| Address: | 18501 Pines Blvd, Suite 374-375, Pembroke Pines, FL 33029 |
| Mail Address: | 18501 Pines Blvd, Suite 374-375, Pembroke Pines, FL 33029 |
| ZIP code: | 33029 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407439383 | 2021-04-29 | 2024-06-06 | 18501 PINES BLVD STE 374-375, PEMBROKE PINES, FL, 330291414, US | 18501 PINES BLVD STE 374-375, PEMBROKE PINES, FL, 330291414, US | |||||||||||||||||
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| Phone | +1 786-630-8663 |
Authorized person
| Name | MELISSA DE LA CRUZ DE LA IGLESIA |
| Role | ADMINISTRATOR |
| Phone | 7866308663 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DE LA CRUZ, MELISSA | Agent | 3826 SW 153rd Pl, MIAMI, FL 33185 |
| Name | Role | Address |
|---|---|---|
| DE LA CRUZ, MELISSA, MS | Authorized Member | 18501 PINES BLVD SIUTE 374-375, PEMBROKE PINES, FL 33029 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2025-02-07 | 3826 SW 153rd Pl, MIAMI, FL 33185 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-10 | 18501 Pines Blvd, Suite 374-375, Pembroke Pines, FL 33029 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-10 | 18501 Pines Blvd, Suite 374-375, Pembroke Pines, FL 33029 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-21 | 9535 sw 24th st, apt E204, MIAMI, FL 33165 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-07 |
| ANNUAL REPORT | 2024-01-10 |
| ANNUAL REPORT | 2023-01-10 |
| ANNUAL REPORT | 2022-04-21 |
| Florida Limited Liability | 2021-04-08 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
