| Entity Name: | ALLY RECOVERY GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Jul 2016 (9 years ago) |
| Date of dissolution: | 19 Feb 2019 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 19 Feb 2019 (6 years ago) |
| Document Number: | P16000059898 |
| FEI/EIN Number | 81-3305979 |
| Address: | 231 Palm Beach Plantation Blvd, Royal Palm Beach, FL, 33411, US |
| Mail Address: | 231 Palm Beach Plantation Blvd, Royal Palm Beach, FL, 33411, US |
| ZIP code: | 33411 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730628652 | 2017-02-13 | 2017-08-16 | 420 S STATE ROAD 7, SUITE 122, ROYAL PALM BEACH, FL, 334144303, US | 420 S STATE ROAD 7, SUITE 122, ROYAL PALM BEACH, FL, 334144303, US | |||||||||||||||||||||||
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| Phone | +1 561-469-8336 |
| Fax | 5616199367 |
Authorized person
| Name | JUDIE NEAL |
| Role | DIRECTOR OF ADMINISTRATIVE SERVICES |
| Phone | 5614698336 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| Is Primary | No |
| Taxonomy Code | 207RA0401X - Addiction Medicine (Internal Medicine) Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | OUT PATIENT FACILITY |
| Number | 1053860262 |
| Name | Role | Address |
|---|---|---|
| BAYNHAM BLAKE O | Agent | 231 PALM BEACH PLANTATION BLVD, ROYAL PALM BEACH, FL, 33411 |
| Name | Role | Address |
|---|---|---|
| BAYNHAM BLAKE O | President | 231 PALM BEACH PLANTATION BLVD, ROYAL PALM BEACH, FL, 33411 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-02-19 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-28 | 231 Palm Beach Plantation Blvd, Suite 122, Royal Palm Beach, FL 33411 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-28 | 231 Palm Beach Plantation Blvd, Suite 122, Royal Palm Beach, FL 33411 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-02-19 |
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-04-28 |
| Domestic Profit | 2016-07-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
