| Entity Name: | CREATIVE MENTAL HEALTH INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 18 Mar 2016 (9 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | N16000002911 |
| Address: | 750 S. ORANGE BLOSSOM TRAIL, SUITE 41, ORLANDO, FL, 32805, US |
| Mail Address: | 11025 POND VIEW DR., E, ORLANDO, FL, 32825, US |
| ZIP code: | 32805 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093103277 | 2014-12-22 | 2016-10-26 | 3700 34TH ST STE 100, ORLANDO, FL, 328056601, US | 3700 34TH ST STE 100, ORLANDO, FL, 328056601, US | |||||||||||||||||||||||||||||||
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| Phone | +1 407-720-6265 |
Authorized person
| Name | MICHELLE CHAISSON |
| Role | EXECUTIVE DIRECTOR |
| Phone | 4077206265 |
Taxonomy
| Taxonomy Code | 101Y00000X - Counselor |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | UFL-0909 |
| Number | 0909 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CHAISSON RONALD J | Agent | 11025 PONDVIEW DR., ORLANDO, FL, 32825 |
| Name | Role | Address |
|---|---|---|
| CHAISSN RONALD J | Vice President | 11025 POND VIEW DR., ORLANDO, FL, 32825 |
| Name | Role | Address |
|---|---|---|
| CHAISSON DAPHNE M | President | 10223 FALCON PINE BLVD. #207, ORLANDO, FL, 32829 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| AMENDMENT | 2016-07-27 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J18000184259 | TERMINATED | 1000000779635 | ORANGE | 2018-04-19 | 2038-05-09 | $ 3,566.62 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| Name | Date |
|---|---|
| Amendment | 2016-07-27 |
| Domestic Non-Profit | 2016-03-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
