| Entity Name: | CELEBRATE LIFE RECOVERY CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 08 Sep 2009 (16 years ago) |
| Date of dissolution: | 23 Sep 2011 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (14 years ago) |
| Document Number: | N09000008745 |
| FEI/EIN Number |
270722932
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 850 W. DANIA BEACH BLVD., DANIA BEACH, FL, 33004 |
| Mail Address: | 10650 NW 30 PL, BLDG #8, SUNRISE, FL, 33322 |
| ZIP code: | 33004 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1720317282 | 2009-12-12 | 2010-09-16 | 850 W DANIA BEACH BLVD, DANIA BEACH, FL, 330043330, US | 850 W DANIA BEACH BLVD, DANIA BEACH, FL, 330043330, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-921-7535 |
| Fax | 9543465788 |
Authorized person
| Name | MRS. VALERIE CHANDLER |
| Role | PRESIDENT |
| Phone | 8772052906 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| License Number | ME52952 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | ME52952 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 102L00000X - Psychoanalyst |
| License Number | ME52952 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| License Number | ME52952 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| License Number | 2215A |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | 2215A |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | ME52952 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| License Number | ME52952 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QR0800X - Recovery Care Clinic/Center |
| License Number | 2215A |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| License Number | 2215A |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| License Number | ME52952 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 305S00000X - Point of Service |
| License Number | 2215A |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 305S00000X - Point of Service |
| License Number | ME52952 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CHANDLER VALERIE | President | 10650 NW 30 PL, SUNRISE, FL, 33322 |
| CUNNINGHAM RALPH | Vice President | 4041 NW 8 TERRACE, OAKLAND PARK, FL, 33309 |
| STEWART NAOMI | Secretary | 8977 NW 49 PL, CORAL SPRINGS, FL, 33067 |
| MOORE MATHIS | Chief Executive Officer | 10650 NW 30 PL, BLDG 8, SUNRISE, FL, 33322 |
| CHANDLER VALERIE | Agent | 10650 NW 30 PL, SUNRISE, FL, 33322 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | - | - |
| AMENDMENT | 2010-10-12 | - | - |
| AMENDMENT | 2010-10-04 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2010-03-16 | 850 W. DANIA BEACH BLVD., DANIA BEACH, FL 33004 | - |
| AMENDMENT | 2010-03-05 | - | - |
| CHANGE OF MAILING ADDRESS | 2010-01-06 | 850 W. DANIA BEACH BLVD., DANIA BEACH, FL 33004 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2010-01-06 | 10650 NW 30 PL, BLDG #8, SUNRISE, FL 33322 | - |
| Name | Date |
|---|---|
| Amendment | 2010-10-12 |
| Amendment | 2010-10-04 |
| ADDRESS CHANGE | 2010-03-16 |
| Amendment | 2010-03-05 |
| ANNUAL REPORT | 2010-01-06 |
| Domestic Non-Profit | 2009-09-08 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
