| Entity Name: | ALPHA COMMUNITY MENTAL HEALTH CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 26 Aug 2002 (22 years ago) |
| Date of dissolution: | 30 Oct 2013 (11 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 30 Oct 2013 (11 years ago) |
| Document Number: | P02000092359 |
| FEI/EIN Number | 412057243 |
| Address: | 7811 SW 24TH ST, SUITE 137, MIAMI, FL, 33155, US |
| Mail Address: | 7811 SW 24TH ST, SUITE 137, MIAMI, FL, 33155, US |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972870087 | 2011-11-18 | 2012-04-10 | 7811 SW 24TH ST, SUITE 137, MIAMI, FL, 331556540, US | 7811 SW 24TH ST, SUITE 137, MIAMI, FL, 331556540, US | |||||||||||||||||||||||||
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| Phone | +1 305-264-3225 |
| Fax | 3052644838 |
Authorized person
| Name | MRS. MARIA MUSSINI |
| Role | PRESIDENT |
| Phone | 3052643225 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | HCC8610 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PART B PTAN |
| Number | FV223A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MUSSINI MARIA | Agent | 7811 SW 24 STREET, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| MARIA MUSSINI | President | 7811 SW 24 STREET, SUITE 137, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| MARIA MUSSINI | Director | 7811 SW 24 STREET, SUITE 137, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| MADELINE ARENSON | Vice President | 7811 SW 24 STREET SUITE 137, MIAMI, FL, 33155 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2013-10-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-05 | 7811 SW 24TH ST, SUITE 137, MIAMI, FL 33155 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-05 | 7811 SW 24TH ST, SUITE 137, MIAMI, FL 33155 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-05-24 | 7811 SW 24 STREET, SUITE 137, MIAMI, FL 33155 | No data |
| CANCEL ADM DISS/REV | 2003-10-31 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2003-10-31 | MUSSINI, MARIA | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| AMENDMENT | 2002-12-16 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-10 |
| ANNUAL REPORT | 2011-04-05 |
| ANNUAL REPORT | 2010-01-18 |
| ANNUAL REPORT | 2009-03-16 |
| ANNUAL REPORT | 2008-05-06 |
| ANNUAL REPORT | 2007-05-01 |
| ANNUAL REPORT | 2006-05-24 |
| ANNUAL REPORT | 2005-04-11 |
| ANNUAL REPORT | 2004-04-30 |
| REINSTATEMENT | 2003-10-31 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
