| Entity Name: | CARMEN PEREZ-ILLADE LMHC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 05 May 2010 (15 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P10000038742 |
| FEI/EIN Number | 273690775 |
| Address: | 2802 ALOMA AVE, SUITE 102, WINTER PARK, FL, 32792, US |
| Mail Address: | 2802 ALOMA AVE, SUITE 102, WINTER PARK, FL, 32792, US |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558635805 | 2012-03-05 | 2012-03-05 | 2802 ALOMA AVE, SUITE 102, WINTER PARK, FL, 327923532, US | 2802 ALOMA AVE, SUITE 102, WINTER PARK, FL, 327923532, US | |||||||||||||||||||
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| Phone | +1 407-430-6300 |
| Fax | 4076283300 |
Authorized person
| Name | CARMEN PEREZ-ILLADE |
| Role | DIRECTOR |
| Phone | 4074306300 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | MH9110 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WILFREDO ACEVEDO | Agent | 142 WOODLEAF DR, WINTER SPRINGS, FL, 32708 |
| Name | Role | Address |
|---|---|---|
| PEREZ-ILLADE CARMEN L | President | 2802 ALOMA AVE. STE # 102, WINTER PARK, FL, 32792 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-23 |
| ANNUAL REPORT | 2014-03-20 |
| ANNUAL REPORT | 2013-02-06 |
| ANNUAL REPORT | 2012-04-29 |
| ANNUAL REPORT | 2011-05-01 |
| Domestic Profit | 2010-05-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
