| Entity Name: | ESSENTIAL HEALING OF SOUTH FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 25 Jun 2015 (10 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 26 Oct 2017 (7 years ago) |
| Document Number: | P15000055273 |
| FEI/EIN Number | 47-4363229 |
| Address: | 6415 Lake Worth Road Suite 204, Greenacres, FL 33463 |
| Mail Address: | 6415 Lake Worth Road Suite 204, Greenacres, FL 33463 |
| ZIP code: | 33463 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710659677 | 2021-09-29 | 2022-10-11 | 6415 LAKE WORTH RD STE 204, GREENACRES, FL, 334632904, US | 6415 LAKE WORTH RD STE 204, GREENACRES, FL, 334632904, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 561-771-9561 |
Authorized person
| Name | MARIA BONET |
| Role | PRESIDENT |
| Phone | 5617719561 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 108551300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Bonet, Maria | Agent | 6415 LAKE WORTH ROAD, SUITE 204, GREENACRES, FL 33463 |
| Name | Role | Address |
|---|---|---|
| BONET, MARIA | President | 6415 LAKE WORTH ROAD SUITE 204, GREENACRES, FL 33463 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-10-11 | 6415 LAKE WORTH ROAD, SUITE 204, GREENACRES, FL 33463 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-10-04 | 6415 Lake Worth Road Suite 204, Greenacres, FL 33463 | No data |
| CHANGE OF MAILING ADDRESS | 2022-10-04 | 6415 Lake Worth Road Suite 204, Greenacres, FL 33463 | No data |
| REINSTATEMENT | 2017-10-26 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-10-26 | Bonet, Maria | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-26 |
| ANNUAL REPORT | 2023-02-07 |
| Reg. Agent Change | 2022-10-11 |
| ANNUAL REPORT | 2022-02-15 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-01-28 |
| ANNUAL REPORT | 2018-06-26 |
| REINSTATEMENT | 2017-10-26 |
| Domestic Profit | 2015-06-25 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
