Entity Name: | EQUILIBRIUM MENTAL HEALTH SERVICES LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 03 Mar 2023 (2 years ago) |
Document Number: | L23000112390 |
FEI/EIN Number | 92-2955145 |
Address: | 14221 SW 120th St Suite 207, MIAMI, FL 33186 |
Mail Address: | 14221 SW 120th St Suite 207, MIAMI, FL 33186 |
ZIP code: | 33186 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1396448205 | 2023-03-22 | 2023-03-22 | 12750 SW 128TH ST, MIAMI, FL, 331865379, US | 12750 SW 128TH ST, MIAMI, FL, 331865379, US | |||||||||||||||||||||
|
Phone | +1 786-664-7319 |
Authorized person
Name | ROBERT MORALES GAINZA |
Role | PRESIDENT |
Phone | 7865566625 |
Taxonomy
Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
Is Primary | No |
Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
Is Primary | Yes |
Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
Is Primary | No |
Name | Role | Address |
---|---|---|
MORALES GAINZA, ROBERT | Agent | 9007 SW 151ST AVENUE ROAD, MIAMI, FL 33196 |
Name | Role | Address |
---|---|---|
MORALES GAINZA, ROBERT | Authorized Member | 9007 SW 151ST AVENUE ROAD, MIAMI, FL 33196 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-09-21 | 14221 SW 120th St Suite 207, MIAMI, FL 33186 | No data |
CHANGE OF MAILING ADDRESS | 2024-09-21 | 14221 SW 120th St Suite 207, MIAMI, FL 33186 | No data |
Name | Date |
---|---|
AMENDED ANNUAL REPORT | 2024-09-21 |
ANNUAL REPORT | 2024-02-16 |
Florida Limited Liability | 2023-03-03 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State