| Entity Name: | KIDSPACE BEHAVIORAL THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 31 Jan 2022 (3 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: | L22000052495 |
| FEI/EIN Number | 88-2225116 |
| Address: | 583 Pondella Road, STE H, FORT MYERS, FL 33913 |
| Mail Address: | 583 Pondella Road, STE H, FORT MYERS, FL 33913 |
| ZIP code: | 33913 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326785148 | 2022-05-13 | 2022-09-21 | 15291 NW 60TH AVE STE 101, MIAMI LAKES, FL, 330142459, US | 12811 KENWOOD LN STE 113, FORT MYERS, FL, 339075645, US | |||||||||||||||
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| Phone | +1 305-527-4961 |
| Phone | +1 239-205-5148 |
Authorized person
| Name | MR. RAUL SOTO III |
| Role | PARTNER |
| Phone | 3055274961 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SOTO, RAUL, III | Agent | 15291 NW 60 AVE, 101, MIAMI LAKE, FL 33014 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, MERCEDES C | Authorized Member | 19161 NW 89 AVE, MIAMI, FL 33018 |
| SOTO, RAUL | Authorized Member | 15291 NW 60 AVE, MIAMI LAKES, FL 33014 |
| GONZALEZ, PAULA P | Authorized Member | 19901 NW 79 AVE, MIAMI, FL 33015 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-06-29 | 583 Pondella Road, STE H, FORT MYERS, FL 33913 | No data |
| CHANGE OF MAILING ADDRESS | 2022-06-29 | 583 Pondella Road, STE H, FORT MYERS, FL 33913 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2022-01-31 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
