| Entity Name: | DADE FAMILY COUNSELING COMMUNITY MENTAL HEALTH CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 Jul 2003 (22 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 16 Jun 2017 (8 years ago) |
| Document Number: | P03000078398 |
| FEI/EIN Number | 141890033 |
| Address: | 9350 SUNSET DRIVE, MIAMI, FL, 33173, US |
| Mail Address: | 9350 SUNSET DRIVE, MIAMI, FL, 33173, US |
| ZIP code: | 33173 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780357350 | 2021-07-29 | 2021-07-29 | 1951 NW 17TH AVE, MIAMI, FL, 331251547, US | 1951 NW 17TH AVE, MIAMI, FL, 331251547, US | |||||||||||||||||||||||||||
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| Phone | +1 305-774-9570 |
| Fax | 3057749573 |
Authorized person
| Name | MARIA E FIELDS |
| Role | CEO |
| Phone | 3057749570 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | SECONDARY IDENTIFIER |
| Number | 101454 |
| State | FL |
| Issuer | MEDICAID |
| Number | 000204900 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DADE FAMILY COUNSELING 401(K) PLAN | 2023 | 141890033 | 2024-10-08 | DADE FAMILY COUNSELING COMMUNITY MENTAL HEALTH CENTER, INC. | 41 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| Vargas Gonzalez Hevia Baldwin LLP | Agent | 815 Ponce De Leon Blvd., MIAMI, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| WOLTER JAY T | Director | 9350 SUNSET DRIVE, MIAMI, FL, 33173 |
| CORDARO JENNIFER | Director | 9350 SUNSET DRIVE, MIAMI, FL, 33173 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-10-06 | 9350 SUNSET DRIVE, SUITE 151, MIAMI, FL 33173 | No data |
| CHANGE OF MAILING ADDRESS | 2022-10-06 | 9350 SUNSET DRIVE, SUITE 151, MIAMI, FL 33173 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-03-08 | Vargas Gonzalez Hevia Baldwin LLP | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-01 | 815 Ponce De Leon Blvd., 3rd Floor, MIAMI, FL 33134 | No data |
| AMENDMENT | 2017-06-16 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-20 |
| AMENDED ANNUAL REPORT | 2022-10-06 |
| AMENDED ANNUAL REPORT | 2022-08-18 |
| AMENDED ANNUAL REPORT | 2022-08-17 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-03-08 |
| ANNUAL REPORT | 2020-03-09 |
| ANNUAL REPORT | 2019-03-08 |
| ANNUAL REPORT | 2018-03-01 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
