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EQUILIBRIUM MENTAL HEALTH SERVICES LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
MORALES GAINZA, ROBERT Agent 9007 SW 151ST AVENUE ROAD, MIAMI, FL 33196

Authorized Member

Name Role Address
MORALES GAINZA, ROBERT Authorized Member 9007 SW 151ST AVENUE ROAD, MIAMI, FL 33196

Events

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

Documents

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