| Entity Name: | METAMORPHOSIS PSYCHOTHERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 Dec 2022 (2 years ago) |
| Document Number: | L22000517310 |
| FEI/EIN Number | 92-1306275 |
| Address: | 1500 WESTON ROAD, SUITE 200-12, WESTON, FL 33326 |
| Mail Address: | 1500 WESTON ROAD, SUITE 200-12, WESTON, FL 33326 |
| ZIP code: | 33326 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649982596 | 2022-12-21 | 2022-12-21 | 670 W 80TH ST, HIALEAH, FL, 330144130, US | 1500 WESTON RD STE 200-12, WESTON, FL, 333263263, US | |||||||||||||||
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| Phone | +1 786-306-0505 |
| Phone | +1 786-474-6677 |
Authorized person
| Name | YAIMARA SANCHEZ CABALLERO |
| Role | MANAGER |
| Phone | 7863060505 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SANCHEZ CABALLERO, YAIMARA | Agent | 670 W 80 ST, HIALEAH, FL 33014 |
| Name | Role | Address |
|---|---|---|
| SANCHEZ CABALLERO, YAIMARA | Manager | 670 W 80 ST, HIALEAH, FL 33014 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-02-23 | 1500 WESTON ROAD, SUITE 200-12, WESTON, FL 33326 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-23 |
| Florida Limited Liability | 2022-12-09 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
