| Entity Name: | MODERN PSYCHOLOGY, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Apr 2024 (10 months ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 17 Jul 2024 (7 months ago) |
| Document Number: | L24000173039 |
| FEI/EIN Number | 992537398 |
| Address: | 6601 SW 80 ST, South Miami, FL, 33143, US |
| Mail Address: | 6601 SW 80 ST, South Miami, FL, 33143, US |
| ZIP code: | 33143 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184465262 | 2024-06-04 | 2024-09-02 | 15430 LINCOLN DR, HOMESTEAD, FL, 330332621, US | 6601 SW 80TH ST STE 121, MIAMI, FL, 331434661, US | |||||||||||||
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| Phone | +1 786-830-7400 |
Authorized person
| Name | BLANCA MUNOZ |
| Role | ADMINISTRATOR |
| Phone | 7868307400 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOPEZ LIZ M | Agent | 6601 SW 80 ST, SOUTH MIAMI, FL, 33143 |
| Name | Role | Address |
|---|---|---|
| LOPEZ LIZ M | Manager | 6601 SW 80 ST, SOUTH MIAMI, FL, 33143 |
| LEON EDGAR | Manager | 6601 SW 80 ST, SOUTH MIAMI, FL, 33143 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-07-17 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-06-07 | 6601 SW 80 ST #121, South Miami, FL 33143 | No data |
| CHANGE OF MAILING ADDRESS | 2024-06-07 | 6601 SW 80 ST #121, South Miami, FL 33143 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-07 |
| LC Amendment | 2024-07-17 |
| Florida Limited Liability | 2024-04-11 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
