| Entity Name: | THE BUTTERFLY AFFECT THERAPY SERVICES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 02 Mar 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: | P10000018846 |
| FEI/EIN Number | 272021420 |
| Address: | 16455 SW 20th street, MIRAMAR, FL, 33027, US |
| Mail Address: | 16455 SW 20th street, MIRAMAR, FL, 33027, US |
| ZIP code: | 33027 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962810879 | 2014-07-24 | 2014-07-24 | 10211 PINES BLVD # 212, PEMBROKE PINES, FL, 330266003, US | 10211 PINES BLVD # 212, PEMBROKE PINES, FL, 330266003, US | |||||||||||||||||||||||
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| Phone | +1 786-203-5848 |
| Fax | 8883693691 |
Authorized person
| Name | MS. MITZI J PAPILLON |
| Role | CEO |
| Phone | 7862035848 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000698500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PAPILLON MITZI | Agent | 16455 SW 20th street, MIRAMAR, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| PAPILLON MITZI | President | 16455 SW 20th street, MIRAMAR, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| PAPILLON MITZI | Vice President | 16455 SW 20th street, MIRAMAR, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| PAPILLON MITZI | Treasurer | 16455 SW 20th street, MIRAMAR, FL, 33027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-03-03 | 16455 SW 20th street, MIRAMAR, FL 33027 | No data |
| CHANGE OF MAILING ADDRESS | 2013-03-03 | 16455 SW 20th street, MIRAMAR, FL 33027 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-03-03 | 16455 SW 20th street, MIRAMAR, FL 33027 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-04-30 | PAPILLON, MITZI | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-03-03 |
| ANNUAL REPORT | 2012-04-11 |
| ANNUAL REPORT | 2011-04-30 |
| Domestic Profit | 2010-03-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
