| Entity Name: | PARENT CHILD BEHAVIOR CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 15 Jan 1987 (38 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 18 Nov 1997 (27 years ago) |
| Document Number: | M44843 |
| FEI/EIN Number | 65-0036025 |
| Address: | C/O BENJAMIN ISOM, 111 NW 183 ST STE 351, MIAMI, FL 33169 |
| Mail Address: | C/O BENJAMIN ISOM, 111 NW 183 ST STE 351, MIAMI, FL 33169 |
| ZIP code: | 33169 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902158314 | 2012-10-09 | 2012-10-09 | 111 NW 183RD ST, SUITE 351, MIAMI, FL, 331694537, US | 111 NW 183RD ST, SUITE 351, MIAMI, FL, 331694537, US | |||||||||||||||||||
|
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| Phone | +1 305-652-1081 |
| Fax | 3056523095 |
Authorized person
| Name | DR. BENJAMIN F ISOM |
| Role | LICENSED PSCHOLOGIST |
| Phone | 3056521081 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | PY3916 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ISOM, BENJAMIN | Agent | 111 NW 183 ST, STE 351, MIAMI, FL 33169 |
| Name | Role | Address |
|---|---|---|
| ISOM, HASANI | Director | 111 NW 183 ST STE 351, MIAMI, FL 33127 |
| Name | Role | Address |
|---|---|---|
| ISOM, JAMILLA | Secretary | 111 NW 183 ST STE 351, MIAMI, FL 33169 |
| Name | Role | Address |
|---|---|---|
| ISOM, BENJAMIN | President | 111 NW 183 ST. STE351, MIAMI, FL 33169 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2011-03-23 | C/O BENJAMIN ISOM, 111 NW 183 ST STE 351, MIAMI, FL 33169 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-07-02 | C/O BENJAMIN ISOM, 111 NW 183 ST STE 351, MIAMI, FL 33169 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-07-02 | 111 NW 183 ST, STE 351, MIAMI, FL 33169 | No data |
| REGISTERED AGENT NAME CHANGED | 2001-01-31 | ISOM, BENJAMIN | No data |
| REINSTATEMENT | 1997-11-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1997-09-26 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13000228057 | TERMINATED | 1000000308753 | MIAMI-DADE | 2013-01-25 | 2023-01-30 | $ 979.71 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-21 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-04-08 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-05-13 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-04-18 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-03-03 |
| ANNUAL REPORT | 2015-01-22 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
