| Entity Name: | FENIX COUNSELING 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: | 17 Sep 1999 (26 years ago) |
| Date of dissolution: | 24 Sep 2021 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (4 years ago) |
| Document Number: | N99000005533 |
| FEI/EIN Number |
NOT APPLICABLE
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3550 SW 51 Avenue, Davie, FL, 33314, US |
| Mail Address: | 3550 SW 51 Avenue, Davie, FL, 33314, US |
| ZIP code: | 33314 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326428814 | 2015-06-01 | 2015-06-01 | 8201 PETERS RD, SUITE 1000, PLANTATION, FL, 333243265, US | 8201 PETERS RD, SUITE 1000, PLANTATION, FL, 333243265, US | |||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 954-916-2618 |
Authorized person
| Name | CRISTOBAL J GONZALEZ |
| Role | PRESIDENT |
| Phone | 3057886553 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | MH7884 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| License Number | MH7884 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| License Number | MH7884 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 305S00000X - Point of Service |
| License Number | MH7884 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1265452627 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GONZALEZ CRISTOBAL J | Director | 3550 SW 51 Avenue, Davie, FL, 33314 |
| GONZALEZ CRISTOBAL J | President | 3550 SW 51 Avenue, Davie, FL, 33314 |
| CRISTOBAL GONZALEZ J | Agent | 3550 SW 51 Avenue, Davie, FL, 33314 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-07 | 3550 SW 51 Avenue, Davie, FL 33314 | - |
| CHANGE OF MAILING ADDRESS | 2019-02-07 | 3550 SW 51 Avenue, Davie, FL 33314 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-07 | 3550 SW 51 Avenue, Davie, FL 33314 | - |
| REGISTERED AGENT NAME CHANGED | 2017-11-14 | CRISTOBAL, GONZALEZ J | - |
| REINSTATEMENT | 2017-11-14 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-14 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-02-23 |
| REINSTATEMENT | 2017-11-14 |
| ANNUAL REPORT | 2016-07-16 |
| ANNUAL REPORT | 2015-05-01 |
| ANNUAL REPORT | 2014-04-22 |
| ANNUAL REPORT | 2013-04-29 |
| ANNUAL REPORT | 2012-04-30 |
| ANNUAL REPORT | 2011-04-22 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
