| Entity Name: | TEEN ADDICTION TREATMENT INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 11 Aug 2016 (8 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P16000066732 |
| FEI/EIN Number | 81-3553330 |
| Address: | 1966 NE 123 STREET, 232, NORTH MIAMI, FL, 33181 |
| Mail Address: | 1966 NE 123 STREET, 232, NORTH MIAMI, FL, 33181 |
| ZIP code: | 33181 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689126161 | 2016-10-31 | 2016-10-31 | 1515 NW 167TH ST, #430, MIAMI, FL, 331695100, US | 1515 NW 167TH ST, #430, MIAMI, FL, 331695100, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 786-923-3310 |
Authorized person
| Name | MR. ROBERT NIZNIK |
| Role | CEO |
| Phone | 7869233310 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 103TA0400X - Addiction (Substance Use Disorder) Psychologist |
| Is Primary | Yes |
| Taxonomy Code | 103TC2200X - Clinical Child & Adolescent Psychologist |
| Is Primary | No |
| Taxonomy Code | 103TF0000X - Family Psychologist |
| Is Primary | No |
| Taxonomy Code | 103TP2701X - Group Psychotherapy Psychologist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| NIZNIK ROBERT G | Agent | 1966 NE 123 STREET, NORTH MIAMI, FL, 33181 |
| Name | Role | Address |
|---|---|---|
| NIZNIK ROBERT G | President | 1966 NE 123 STREET, NORTH MIAMI, FL, 33181 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-01-04 |
| Domestic Profit | 2016-08-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
