Entity Name: | MY MENTAL HEALTH PROJECT INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Non-Profit |
Status: | Inactive |
Date Filed: | 01 Jul 2022 (3 years ago) |
Date of dissolution: | 22 Sep 2023 (a year ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 22 Sep 2023 (a year ago) |
Document Number: | N22000007551 |
Address: | 3083 NEVERLAND DRIVE, NEW SMYRNA BEACH, FL, 32168 |
Mail Address: | 3083 NEVERLAND DRIVE, NEW SMYRNA BEACH, FL, 32168 |
ZIP code: | 32168 |
County: | Volusia |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1922732460 | 2022-07-11 | 2022-07-11 | 3083 NEVERLAND DR, NEW SMYRNA BEACH, FL, 321682442, US | 3083 NEVERLAND DR, NEW SMYRNA BEACH, FL, 321682442, US | |||||||||||||||||||||
|
Phone | +1 786-393-0315 |
Authorized person
Name | MRS. ANGELA MARIA HANSEN |
Role | PRESIDENT/CLINICAL DIRECTOR |
Phone | 7863930315 |
Taxonomy
Taxonomy Code | 1041C0700X - Clinical Social Worker |
Is Primary | Yes |
Taxonomy Code | 251B00000X - Case Management Agency |
Is Primary | No |
Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
Is Primary | No |
Name | Role | Address |
---|---|---|
HANSEN ANGELA M | Agent | 3083 NEVERLAND DRIVE, NEW SMYRNA BEACH, FL, 32168 |
Name | Role | Address |
---|---|---|
HANSEN ANGELA M | President | 3083 NEVERLAND DRIVE, NEW SMYRNA BEACH, FL, 32168 |
Name | Role | Address |
---|---|---|
HANSEN TREVOR A | Vice President | 3083 NEVERLAND DRIVE, NEW SMYRNA BEACH, FL, 32168 |
Name | Role | Address |
---|---|---|
GUILLEN RENE JR | Secretary | 4929 SKYWAY DRIVE, APT 4310, JACKSONVILLE, FL, 32246 |
Name | Role | Address |
---|---|---|
GUILLEN IVIS M | Treasurer | 359 EAST ALLEN STREET, APT. 37, CASTLEROCK, CO, 80108 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
Name | Date |
---|---|
Domestic Non-Profit | 2022-07-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State