| Entity Name: | L.I.F.E. CENTER FOR HEALING & GROWTH INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 08 May 2015 (10 years ago) |
| Document Number: | P15000041689 |
| FEI/EIN Number | 47-3971450 |
| Address: | 12360 SW 132 CT, Suite 113, MIAMI, FL 33186 |
| Mail Address: | 12360 SW 132 CT, Suite 113, MIAMI, FL 33186 |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740793868 | 2017-11-11 | 2021-08-11 | 12360 SW 132ND CT STE 113, MIAMI, FL, 331866461, US | 12360 SW 132ND CT STE 113, MIAMI, FL, 331866461, US | |||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 305-588-4143 |
Authorized person
| Name | JENNY SILVERIO |
| Role | PRESIDENT/CEO |
| Phone | 7865879631 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH13383 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 261QH0700X - Hearing and Speech Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QX0100X - Occupational Medicine Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 022983800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SILVERIO, JENNY | Agent | 12325 sw 148 terr, MIAMI, FL 33186 |
| Name | Role | Address |
|---|---|---|
| SILVERIO, JENNY | Director | 12325 sw 148 terr, MIAMI, FL 33186 |
| Name | Role | Address |
|---|---|---|
| SILVERIO, JENNY | President | 12325 sw 148 terr, MIAMI, FL 33186 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000053096 | THERAPY COMMUNITY | EXPIRED | 2017-05-12 | 2022-12-31 | No data | PO BOX 770204, MIAMI, FL, 33177 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-07-28 | 12360 SW 132 CT, Suite 113, MIAMI, FL 33186 | No data |
| CHANGE OF MAILING ADDRESS | 2021-07-28 | 12360 SW 132 CT, Suite 113, MIAMI, FL 33186 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-19 | 12325 sw 148 terr, MIAMI, FL 33186 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-08 |
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-02-13 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-03-23 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-03-19 |
| ANNUAL REPORT | 2016-04-05 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State
