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HERNANDEZ MENTAL HEALTH, INC.

Company Details

Entity Name: HERNANDEZ MENTAL HEALTH, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 20 Apr 2016 (9 years ago)
Document Number: P16000035852
FEI/EIN Number 81-2312934
Address: 2828 CORAL WAY, SUITE 560, CORAL GABLES, FL, 33145, US
Mail Address: 2828 CORAL WAY, SUITE 560, CORAL GABLES, FL, 33145, US
ZIP code: 33145
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679920276 2016-05-24 2016-05-24 3232 CORAL WAY APT 1505, CORAL GABLES, FL, 331453189, US 3232 CORAL WAY APT 1505, CORAL GABLES, FL, 331453189, US

Contacts

Phone +1 786-286-3832

Authorized person

Name MR. EDGAR ANTONIO HERNANDEZ
Role OWNER
Phone 7862863832

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
License Number MH13705
State FL
Is Primary Yes
Taxonomy Code 103K00000X - Behavior Analyst
License Number HM13705
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HERNANDEZ MENTAL HEALTH 401(K) 2023 812312934 2024-05-28 HERNANDEZ MENTAL HEALTH INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-08-01
Business code 621330
Sponsor’s telephone number 7862863832
Plan sponsor’s address 2828 CORAL WAY SUITE 560, CORAL GABLES, FL, 33145

Signature of

Role Plan administrator
Date 2024-05-28
Name of individual signing EDGAR HERNANDEZ
Valid signature Filed with authorized/valid electronic signature
HERNANDEZ MENTAL HEALTH 401(K) 2022 812312934 2023-06-02 HERNANDEZ MENTAL HEALTH INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-08-01
Business code 621330
Sponsor’s telephone number 7862863832
Plan sponsor’s address 2828 CORAL WAY SUITE 560, CORAL GABLES, FL, 33145

Signature of

Role Plan administrator
Date 2023-06-02
Name of individual signing EDGAR HERNANDEZ
Valid signature Filed with authorized/valid electronic signature
HERNANDEZ MENTAL HEALTH 401(K) 2020 812312934 2021-09-24 HERNANDEZ MENTAL HEALTH INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-08-01
Business code 621330
Sponsor’s telephone number 7862863832
Plan sponsor’s address 2828 CORAL WAY, SUITE 560, CORAL GABLES, FL, 33145

Signature of

Role Plan administrator
Date 2021-09-24
Name of individual signing EDGAR HERNANDEZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HERNANDEZ EDGAR A Agent 2828 CORAL WAY, CORAL GABLES, FL, 33145

President

Name Role Address
HERNANDEZ EDGAR A President 2828 CORAL WAY, CORAL GABLES, FL, 33145

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-03-24 2828 CORAL WAY, SUITE 560, CORAL GABLES, FL 33145 No data
CHANGE OF MAILING ADDRESS 2020-03-24 2828 CORAL WAY, SUITE 560, CORAL GABLES, FL 33145 No data
REGISTERED AGENT ADDRESS CHANGED 2020-03-24 2828 CORAL WAY, SUITE 560, CORAL GABLES, FL 33145 No data
REGISTERED AGENT NAME CHANGED 2018-01-03 HERNANDEZ, EDGAR A No data

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-04-27
ANNUAL REPORT 2022-04-25
ANNUAL REPORT 2021-03-17
ANNUAL REPORT 2020-03-24
ANNUAL REPORT 2019-03-12
ANNUAL REPORT 2018-01-03
ANNUAL REPORT 2017-02-14
Domestic Profit 2016-04-20

Date of last update: 01 Feb 2025

Sources: Florida Department of State