| Entity Name: | DIVINE MENTAL HEALTHCARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 20 Sep 2021 (3 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L21000415000 |
| Address: | 4900 ST JAMES, WINTERHAVEN, FL 33881 |
| Mail Address: | 4900 ST JAMES, WINTERHAVEN, FL 33881 |
| ZIP code: | 33881 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902531064 | 2022-07-21 | 2022-07-21 | 274 W CENTRAL AVE, WINTER HAVEN, FL, 338802935, US | 274 W CENTRAL AVE, WINTER HAVEN, FL, 338802935, US | |||||||||||||
|
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| Phone | +1 863-585-5946 |
Authorized person
| Name | LYNN THROTMAN |
| Role | OWNER |
| Phone | 8635855946 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| THROTMAN, LYNN | Agent | 4900 ST JAMES, WINTERHAVEN, FL 33881 |
| Name | Role | Address |
|---|---|---|
| THROTMAN, LYNN | Authorized Member | 4900 ST JAMES, WINTERHAVEN, FL 33881 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2021-09-20 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
