| Entity Name: | MENTIS BEHAVIORAL CENTER INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Inactive |
| Date Filed: | 28 Dec 2020 (4 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | N20000014318 |
| FEI/EIN Number | 86-1524681 |
| Address: | 10021 SW 40TH ST, MIAMI, FL 33165 |
| Mail Address: | 10021 SW 40TH ST, MIAMI, FL 33165 |
| ZIP code: | 33165 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386222362 | 2021-03-31 | 2021-03-31 | 10021 SW 40TH ST, MIAMI, FL, 331653945, US | 10021 SW 40TH ST, MIAMI, FL, 331653945, US | |||||||||||||
|
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| Phone | +1 305-857-7779 |
Authorized person
| Name | OCTAVIO RODRIGUEZ |
| Role | MNGR |
| Phone | 7864315267 |
Taxonomy
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BETAM PROFESSIONAL SERVICES INC | Agent |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, OCTAVIO | President | 10021 SW 40TH ST, MIAMI, FL 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-02 | 10021 SW 40TH ST, MIAMI, FL 33165 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-02 | 10021 SW 40TH ST, MIAMI, FL 33165 | No data |
| Name | Date |
|---|---|
| Domestic Non-Profit | 2020-12-28 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
