| Entity Name: | MIAMI PSYCHOLOGY & HUMAN SERVICE COLLABORATIVE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
MIAMI PSYCHOLOGY & HUMAN SERVICE COLLABORATIVE, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 07 Apr 2010 (15 years ago) |
| Document Number: | P10000030113 |
| FEI/EIN Number |
APPLIED FOR
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4110 NW 15TH AVE, MIAMI, FL, 33142, US |
| Mail Address: | PO BOX 370333, MIAMI, FL, 33137, US |
| ZIP code: | 33142 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811215866 | 2010-05-13 | 2014-09-09 | PO BOX 370333, MIAMI, FL, 331370333, US | 8201 PETERS RD STE 1000, PLANTATION, FL, 333243266, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 305-741-5628 |
| Fax | 3053971650 |
Authorized person
| Name | MISS NATASHA K NALLS |
| Role | CLINICAL DIRECTOR |
| Phone | 3057415628 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 101YP1600X - Pastoral Counselor |
| License Number | SW9577 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW9577 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NALLS NATASHA K | President | 4110 NW 15th Ave, MIAMI, FL, 33142 |
| NALLS NATASHA K | Agent | 4110 NW 15th Ave, MIAMI, FL, 33142 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000047059 | MY TEETH WHITENING STORE.COM | ACTIVE | 2021-04-06 | 2026-12-31 | - | PO BOX 370333, MIAMI, FL, 33137 |
| G10000110868 | MIAMI PSYCHOLOGY GROUP | EXPIRED | 2010-12-06 | 2015-12-31 | - | 7100 BISCAYNE BLVD., #214, MIAMI, FL, 33138 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-05 | 4110 NW 15th Ave, MIAMI, FL 33142 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2019-07-29 | 4110 NW 15TH AVE, MIAMI, FL 33142 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-15 |
| ANNUAL REPORT | 2023-01-05 |
| ANNUAL REPORT | 2022-01-06 |
| ANNUAL REPORT | 2021-01-19 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-02-21 |
| ANNUAL REPORT | 2018-01-03 |
| ANNUAL REPORT | 2017-01-08 |
| ANNUAL REPORT | 2016-01-21 |
| ANNUAL REPORT | 2015-01-11 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
