Entity Name: | BEHAVIORAL WELLNESS CONSULTANTS LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Inactive |
Date Filed: | 17 Feb 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: | L22000079225 |
Address: | 2512 W VIRGINIA AVE, TAMPA, FL 33607 |
Mail Address: | 2512 W VIRGINIA AVE, TAMPA, FL 33607 |
ZIP code: | 33607 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1912653783 | 2022-03-01 | 2022-03-01 | 2512 W VIRGINIA AVE, TAMPA, FL, 336076326, US | 2512 W VIRGINIA AVE, TAMPA, FL, 336076326, US | |||||||||||||||
|
Phone | +1 813-948-5898 |
Fax | 8139485809 |
Authorized person
Name | MS. OTISHA HOUSE |
Role | ADMINISTRATOR |
Phone | 8134033030 |
Taxonomy
Taxonomy Code | 2084P0800X - Psychiatry Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
MONTOYA, MIGUEL A, MD | Agent | 2512 W VIRGINIA AVE, TAMPA, FL 33607 |
Name | Role | Address |
---|---|---|
RUANO, ORLANDO L, M.D | Manager | 2512 W VIRGINIA AVE, TAMPA, FL 33607 |
MONTOYA, MIGUEL A, M.D. | Manager | 2512 W VIRGINIA AVE, TAMPA, FL 33607 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
Name | Date |
---|---|
Florida Limited Liability | 2022-02-17 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State