| Entity Name: | EXCELSIS BEHAVIORAL HEALTH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Profit Corporation
EXCELSIS BEHAVIORAL HEALTH, INC. is structured as a Profit Corporation, also known as a C-Corporation, a business structure recognized as a separate legal entity from its owners. This structure offers the benefit of potential tax advantages and ease of raising capital through the issuance of stock. |
| 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 (10 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year 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 |
| 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 | |||||||||||||||||||||||||||||
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| 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 George | Agent | 4144 NORTH ARMENIA AVE, SUITE 350, TAMPA, FL 33607 |
| ECONOMOS, Thomas George | President | 4144 NORTH ARMENIA AVE STE 350, TAMPA, FL 33607 |
| ECONOMOS, Thomas George | Chief Executive Officer | 4144 NORTH ARMENIA AVE STE 350, TAMPA, FL 33607 |
| Patel, Gunjani | Vice President | 4144 NORTH ARMENIA AVE, SUITE 350 TAMPA, FL 33607 |
| Patel, Gunjani | Operations | 4144 NORTH ARMENIA AVE, SUITE 350 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: 20 Feb 2025
Sources: Florida Department of State
