| Entity Name: | RECOVERY INSTITUTE OF THE SOUTH EAST, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 25 Mar 2014 (11 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 23 Apr 2014 (11 years ago) |
| Document Number: | P14000029629 |
| FEI/EIN Number | 46-5289946 |
| Address: | 915 Middle River Drive, Fort Lauderdale, FL, 33304, US |
| Mail Address: | 915 Middle River Drive, Fort Lauderdale, FL, 33304, US |
| ZIP code: | 33304 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881014405 | 2014-04-22 | 2020-01-28 | 915 MIDDLE RIVER DR STE 201, FT LAUDERDALE, FL, 333043559, US | 915 MIDDLE RIVER DR STE 201, FT LAUDERDALE, FL, 333043559, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 800-723-9788 |
| Fax | 8007239788 |
Authorized person
| Name | BET SHADDINGER |
| Role | CEO, OWNER, ADMINISTRATOR |
| Phone | 8007239788 |
Taxonomy
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | No |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 382147100 |
| State | FL |
| Issuer | MEDICAID |
| Number | 017837600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Shaddinger Bet | Agent | 915 Middle River Drive, Fort Lauderdale, FL, 33304 |
| Name | Role | Address |
|---|---|---|
| SHADDINGER BET | Chief Executive Officer | 915 Middle River Drive, Fort Lauderdale, FL, 33304 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000040296 | RISE & SHINE INTEGRATED THERAPEUTIC SERVICES | ACTIVE | 2020-04-10 | 2025-12-31 | No data | 915 MIDDLE RIVER DR. UNIT 201, FORT LAUDERDALE, FL, 33304 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-13 | 915 Middle River Drive, Unit 201, Fort Lauderdale, FL 33304 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-13 | 915 Middle River Drive, Unit 201, Fort Lauderdale, FL 33304 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-13 | 915 Middle River Drive, Unit 201, Fort Lauderdale, FL 33304 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-01-06 | Shaddinger, Bet | No data |
| AMENDMENT | 2014-04-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-06-28 |
| ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2021-03-14 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-03-20 |
| ANNUAL REPORT | 2018-01-06 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-07-05 |
| Off/Dir Resignation | 2016-04-04 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
