| Entity Name: | MISTI KEEN, LMHC, CAP INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 24 Jul 2014 (11 years ago) |
| Date of dissolution: | 25 Feb 2016 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 25 Feb 2016 (9 years ago) |
| Document Number: | P14000062346 |
| FEI/EIN Number | 47-1437521 |
| Address: | 1812 West 27th Street, PANAMA CITY, FL, 32405, US |
| Mail Address: | P O Box 9718, PANAMA CITY Beach, FL, 32417, US |
| ZIP code: | 32405 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952707176 | 2014-11-16 | 2014-11-16 | 105 JAZZ DR, PANAMA CITY, FL, 324054906, US | 105 JAZZ DR, PANAMA CITY, FL, 324054906, US | |||||||||||||||||||
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| Phone | +1 850-522-9719 |
| Fax | 8505229718 |
Authorized person
| Name | MISTI D KEEN |
| Role | OWNER |
| Phone | 8505229719 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | MH11871 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KEEN MISTI D | Agent | 1812 West 27th Street, PANAMA CITY, FL, 32405 |
| Name | Role | Address |
|---|---|---|
| KEEN MISTI D | President | 1812 West 27th Street, PANAMA CITY, FL, 32405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2016-02-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-03-14 | 1812 West 27th Street, PANAMA CITY, FL 32405 | No data |
| CHANGE OF MAILING ADDRESS | 2015-03-14 | 1812 West 27th Street, PANAMA CITY, FL 32405 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-03-14 | 1812 West 27th Street, PANAMA CITY, FL 32405 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2016-02-25 |
| ANNUAL REPORT | 2015-03-14 |
| Domestic Profit | 2014-07-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
