| Entity Name: | MENTAL HEALTH OF MIAMI INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Dec 2015 (9 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 29 May 2018 (7 years ago) |
| Document Number: | P15000101930 |
| FEI/EIN Number | 81-0961276 |
| Address: | 18955 SW 136th Ave, Miami, FL, 33177, US |
| Mail Address: | PO BOX 770275, Miami, FL, 33177, US |
| ZIP code: | 33177 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467989517 | 2017-05-19 | 2024-01-22 | PO BOX 770275, MIAMI, FL, 331770005, US | 18955 SW 136TH AVE, MIAMI, FL, 331777172, US | |||||||||||||||||||||||||||||
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| Phone | +1 786-738-6468 |
| Fax | 7865510212 |
Authorized person
| Name | YAHAIRA CASTRO |
| Role | PRESIDENTS/LEAD ANALYST |
| Phone | 7866833641 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH14256 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 020526900 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MENTAL HEALTH OF MIAMI INC | 2023 | 810961276 | 2024-10-19 | MENTAL HEALTH OF MIAMI INC | 14 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-10-19 |
| Name of individual signing | MICHAEL CASTRO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621330 |
| Sponsor’s telephone number | 7867386468 |
| Plan sponsor’s address | 13335 SW 124TH STREET UNIT 110, MIAMI, FL, 331867510 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-08 |
| Name of individual signing | MICHAEL CASTRO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621330 |
| Sponsor’s telephone number | 7867386468 |
| Plan sponsor’s address | 13200 SW 128TH STREET SUITE A2, MIAMI, FL, 33186 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-03 |
| Name of individual signing | MICHAEL CASTRO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621330 |
| Sponsor’s telephone number | 7867386468 |
| Plan sponsor’s address | 13200 SW 128TH STREET SUITE A2, MIAMI, FL, 33186 |
Signature of
| Role | Plan administrator |
| Date | 2021-06-08 |
| Name of individual signing | MICHAEL CASTRO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621330 |
| Sponsor’s telephone number | 7867386468 |
| Plan sponsor’s address | 13054 SW 133RD COURT, MIAMI, FL, 33186 |
Signature of
| Role | Plan administrator |
| Date | 2020-07-02 |
| Name of individual signing | MICHAEL CASTRO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| CASTRO YAHAIRA | Agent | 18955 SW 136th Ave, Miami, FL, 33177 |
| Name | Role | Address |
|---|---|---|
| Castro Yahaira Dr. | President | PO BOX 770275, Miami, FL, 33177 |
| Name | Role | Address |
|---|---|---|
| Castro Michael Dr. | Vice President | PO BOX 770275, Miami, FL, 33177 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-06 | 18955 SW 136th Ave, Miami, FL 33177 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-06 | 18955 SW 136th Ave, Miami, FL 33177 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-06 | 18955 SW 136th Ave, Miami, FL 33177 | No data |
| AMENDMENT | 2018-05-29 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-03-26 |
| Amendment | 2018-05-29 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-04-13 |
| Domestic Profit | 2015-12-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
