| Entity Name: | EXCELSIS BEHAVIORAL HEALTH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
EXCELSIS BEHAVIORAL HEALTH, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 01 Oct 2014 (11 years ago) |
| Date of dissolution: | 22 Sep 2023 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (2 years ago) |
| Document Number: | P14000080926 |
| FEI/EIN Number |
47-2002198
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4144 NORTH ARMENIA AVE, SUITE 350, TAMPA, FL, 33607 |
| Mail Address: | 4144 NORTH ARMENIA AVE, SUITE 350, TAMPA, FL, 33607, US |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063897262 | 2015-07-29 | 2015-07-29 | 4144 N ARMENIA AVE, SUITE 350, TAMPA, FL, 336076400, US | 4144 N ARMENIA AVE, SUITE 350, TAMPA, FL, 336076400, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 855-743-4273 |
| Fax | 8557434273 |
Authorized person
| Name | THOMAS GEORGE ECONOMOS |
| Role | CEO |
| Phone | 8554734273 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 103TA0400X - Addiction (Substance Use Disorder) Psychologist |
| Is Primary | No |
| Taxonomy Code | 104100000X - Social Worker |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BEHAVIORAL HEATH CARE COMPANY |
| Number | P1400008092 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ECONOMOS Thomas G | President | 4144 NORTH ARMENIA AVE STE 350, TAMPA, FL, 33607 |
| Patel Gunjani | Vice President | 4144 NORTH ARMENIA AVE, TAMPA, FL, 33607 |
| Economos Thomas G | Agent | 4144 NORTH ARMENIA AVE, TAMPA, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | - | - |
| REINSTATEMENT | 2021-10-19 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| REGISTERED AGENT NAME CHANGED | 2019-04-30 | Economos, Thomas George | - |
| REINSTATEMENT | 2016-10-21 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-01-25 |
| REINSTATEMENT | 2021-10-19 |
| ANNUAL REPORT | 2020-02-10 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-28 |
| ANNUAL REPORT | 2017-04-10 |
| REINSTATEMENT | 2016-10-21 |
| ANNUAL REPORT | 2015-09-24 |
| Domestic Profit | 2014-10-01 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
