| Entity Name: | FAMILY INTERVENTION SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 19 Aug 2004 (21 years ago) |
| Date of dissolution: | 20 Jun 2011 (14 years ago) |
| Last Event: | VOLUNTARY DISS W/ NOTICE |
| Event Date Filed: | 20 Jun 2011 (14 years ago) |
| Document Number: | P04000120622 |
| FEI/EIN Number | 201517929 |
| Address: | 13135 VIA VESTA, DELRAY BEACH, FL, 33484 |
| Mail Address: | 13135 VIA VESTA, DELRAY BEACH, FL, 33484 |
| ZIP code: | 33484 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518087683 | 2007-03-30 | 2020-08-22 | 350 NW 70TH AVE STE A, PLANTATION, FL, 333172349, US | 350 NW 70TH AVE STE A, PLANTATION, FL, 333172349, US | |||||||||||||||||||||||||
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| Phone | +1 954-587-7522 |
Authorized person
| Name | MRS. NICOLE E BUDDLE-DIAZ |
| Role | PRESIDENT |
| Phone | 9542245031 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| License Number | CAP 3256 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW 6986 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BUDDLE-DIAZ NICOLE | Agent | 13135 VIA VESTA, DELRAY BEACH, FL, 33484 |
| Name | Role | Address |
|---|---|---|
| BUDDLE-DIAZ NICOLE E | President | 1501 CORPORATE DRIVE, SUITE 250, BOYNTON BEACH, FL, 33426 |
| Name | Role | Address |
|---|---|---|
| BUDDLE-DIAZ NICOLE E | Secretary | 1501 CORPORATE DRIVE, SUITE 250, BOYNTON BEACH, FL, 33426 |
| Name | Role | Address |
|---|---|---|
| BUDDLE-DIAZ NICOLE E | Treasurer | 1501 CORPORATE DRIVE, SUITE 250, BOYNTON BEACH, FL, 33426 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISS W/ NOTICE | 2011-06-20 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-23 | 13135 VIA VESTA, DELRAY BEACH, FL 33484 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-23 | 13135 VIA VESTA, DELRAY BEACH, FL 33484 | No data |
| CHANGE OF MAILING ADDRESS | 2008-09-23 | 13135 VIA VESTA, DELRAY BEACH, FL 33484 | No data |
| REGISTERED AGENT NAME CHANGED | 2008-09-23 | BUDDLE-DIAZ, NICOLE | No data |
| Name | Date |
|---|---|
| CORAPVDWN | 2011-06-20 |
| ANNUAL REPORT | 2010-04-29 |
| ANNUAL REPORT | 2009-04-23 |
| ANNUAL REPORT | 2008-09-23 |
| ANNUAL REPORT | 2007-04-29 |
| ANNUAL REPORT | 2006-04-28 |
| ANNUAL REPORT | 2005-04-30 |
| Domestic Profit | 2004-08-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
