| Entity Name: | BACK 2 BASICS, BEHAVIORAL HEALTH CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 17 Mar 2014 (11 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P14000024414 |
| Address: | 845 W. JASMINE DR, LAKE PARK, FL 33403 |
| Mail Address: | 845 W. JASMINE DR, LAKE PARK, FL 33403 |
| ZIP code: | 33403 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053738658 | 2014-03-21 | 2014-03-21 | 845 W JASMINE DR, LAKE PARK, FL, 334032105, US | 845 W JASMINE DR, LAKE PARK, FL, 334032105, US | |||||||||||||
|
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| Phone | +1 561-876-5100 |
Authorized person
| Name | SIGRID ALLEN |
| Role | PRESIDENT |
| Phone | 5618765100 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALLEN, SIGRID | Agent | 845 W JASMINE DR, LAKE PARK, FL 33403 |
| Name | Role | Address |
|---|---|---|
| ALLEN, SIGRID | President | 845 W JASMINE DR, LAKE PARK, FL 33403 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000028805 | BACK 2 BASICS, BEHAVIORAL HEALTH CENTER, INC. | EXPIRED | 2014-03-21 | 2019-12-31 | No data | 845 W JASMINE DR, LAKE PARK, FL, 33403 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2014-03-17 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
