| Entity Name: | PARTNERS IN TREATMENT INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 14 Nov 2013 (11 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | P13000092931 |
| FEI/EIN Number | 45-5097413 |
| Address: | 1489 MILITARY TRAIL, SUITE 114, WEST PALM BEACH, FL 33409 |
| Mail Address: | 1489 MILITARY TRAIL, SUITE 114, WEST PALM BEACH, FL 33409 |
| ZIP code: | 33409 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194162636 | 2013-05-23 | 2019-04-23 | 1489 N MILITARY TRL STE 114, WEST PALM BEACH, FL, 334096057, US | 1489 N MILITARY TRL STE 114, WEST PALM BEACH, FL, 334096057, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-632-5663 |
| Phone | +1 561-222-4724 |
Authorized person
| Name | MRS. DORIS A CARROLL |
| Role | EXECUTIVE/CLINICAL DIRECTOR |
| Phone | 5616325663 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | IMH8296 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CLIA |
| Number | 10D2035758 |
| State | FL |
| Issuer | DEPARTMENT OF CHILDREN AND FAMILIES |
| Number | LIC-1047005 |
| State | FL |
| Issuer | THE JOINT COMMISSION |
| Number | 608574 |
| State | FL |
| Issuer | DEPARTMENT OF CHILDREN AND FAMILIES |
| Number | LIC-1045095 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Colon, Xiomara L | Agent | 1489 MILITARY TRAIL, SUITE 114, WEST PALM BEACH, FL 33409 |
| Name | Role | Address |
|---|---|---|
| Colon, Xiomara | Chief Executive Officer | 1489 MILITARY TRAIL, SUITE 114 WEST PALM BEACH, FL 33409 |
| Name | Role | Address |
|---|---|---|
| Colon, Xiomara L | Other | 1489 Military Trail, Suite 114 West Palm Beach, FL 33409 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000007064 | RISE TO RECOVERY | EXPIRED | 2019-01-14 | 2024-12-31 | No data | 1489 MILITARY TRAIL, SUITE 114, WEST PALM BEACH, FL, 33409 |
| G17000022953 | GATEHOUSE TREATMENT OF FLORIDA | EXPIRED | 2017-03-03 | 2022-12-31 | No data | 1489 NORTH MILITARY TRAIL, SUITE 216, WEST PALM BEACH, FL, 33409 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REINSTATEMENT | 2023-08-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-03-16 | Colon, Xiomara L | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-16 | 1489 MILITARY TRAIL, SUITE 114, WEST PALM BEACH, FL 33409 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-27 | 1489 MILITARY TRAIL, SUITE 114, WEST PALM BEACH, FL 33409 | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-27 | 1489 MILITARY TRAIL, SUITE 114, WEST PALM BEACH, FL 33409 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2023-08-30 |
| ANNUAL REPORT | 2021-02-25 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-01-14 |
| ANNUAL REPORT | 2018-01-10 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-02-23 |
| ANNUAL REPORT | 2014-04-08 |
| Domestic Profit | 2013-11-14 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4088528409 | 2021-02-06 | 0455 | PPP | 1489 N Military Trl Ste 114, West Palm Beach, FL, 33409-6057 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 21 Feb 2025
Sources: Florida Department of State
