| Entity Name: | BROWARD CENTER FOR MENTAL HEALTH PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Jan 2010 (15 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P10000001423 |
| FEI/EIN Number | 271600989 |
| Address: | 411-417 NE 2ND AVENUE, HALLANDALE, FL, 33009, US |
| Mail Address: | 411-417 NE 2ND AVENUE, HALLANDALE, FL, 33009, US |
| ZIP code: | 33009 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609184290 | 2010-09-17 | 2011-10-21 | 3127 W HALLANDALE BEACH BLVD, SUITE 115, HALLANDALE, FL, 330095150, US | 3127 W HALLANDALE BEACH BLVD, SUITE 115, PEMBROKE PARK, FL, 330095150, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 754-816-3071 |
| Fax | 7548163077 |
| Fax | 7548163071 |
Authorized person
| Name | MRS. BARBARA IRIZARRY-LUKE |
| Role | ADMINISTRATOR |
| Phone | 7548163071 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 101YP2500X - Professional Counselor |
| Is Primary | No |
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | No |
| Taxonomy Code | 103TA0400X - Addiction (Substance Use Disorder) Psychologist |
| Is Primary | No |
| Taxonomy Code | 103TB0200X - Cognitive & Behavioral Psychologist |
| Is Primary | No |
| Taxonomy Code | 103TC1900X - Counseling Psychologist |
| Is Primary | Yes |
| Taxonomy Code | 103TC2200X - Clinical Child & Adolescent Psychologist |
| Is Primary | No |
| Taxonomy Code | 103TF0000X - Family Psychologist |
| Is Primary | No |
| Taxonomy Code | 103TP0016X - Prescribing (Medical) Psychologist |
| Is Primary | No |
| Taxonomy Code | 103TP2701X - Group Psychotherapy Psychologist |
| Is Primary | No |
| Taxonomy Code | 103TR0400X - Rehabilitation Psychologist |
| Is Primary | No |
| Taxonomy Code | 104100000X - Social Worker |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ROSENWASSER ROBERT V | Agent | 3129 W. HALLANDALE BEACH BLVD., PEMBROKE PARK, FL, 33009 |
| Name | Role | Address |
|---|---|---|
| ROSENWASSER ROBERT ESQ | President | 3129 W. HALLANDALE BEACH BLVD. SUITE 107, PEMBROKE PARK, FL, 33009 |
| Name | Role | Address |
|---|---|---|
| LUKE BARBARA RN | Vice President | 3129 W. HALLANDALE BEACH BLVD. SUITE 107, PEMBROKE PARK, FL, 33009 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-06-25 | 411-417 NE 2ND AVENUE, HALLANDALE, FL 33009 | No data |
| CHANGE OF MAILING ADDRESS | 2013-06-25 | 411-417 NE 2ND AVENUE, HALLANDALE, FL 33009 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-05-14 | 3129 W. HALLANDALE BEACH BLVD., SUITE 107, PEMBROKE PARK, FL 33009 | No data |
| NAME CHANGE AMENDMENT | 2011-01-12 | BROWARD CENTER FOR MENTAL HEALTH PA | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J15000330809 | ACTIVE | 1000000662431 | BROWARD | 2015-02-26 | 2035-03-04 | $ 330.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| J15000330817 | ACTIVE | 1000000662432 | BROWARD | 2015-02-26 | 2025-03-04 | $ 497.31 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| J14000154269 | LAPSED | 1000000577914 | BROWARD | 2014-01-23 | 2024-01-29 | $ 701.16 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| J13001484378 | ACTIVE | 1000000534680 | BROWARD | 2013-09-16 | 2033-10-03 | $ 300.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-05-01 |
| ANNUAL REPORT | 2012-05-14 |
| ANNUAL REPORT | 2011-03-10 |
| Name Change | 2011-01-12 |
| ADDRESS CHANGE | 2010-03-19 |
| Domestic Profit | 2010-01-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
