| Entity Name: | LESLEY D ALFONSO, LMHC, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
LESLEY D ALFONSO, LMHC, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 31 Mar 2017 (8 years ago) |
| Date of dissolution: | 23 Sep 2022 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (3 years ago) |
| Document Number: | P17000029385 |
| FEI/EIN Number |
82-1062865
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 10406 TAFT STREET, PEMBROKE PINES, FL, 33026, US |
| Mail Address: | 3601 S. Longfellow Circle, Hollywood, FL, 33021, US |
| ZIP code: | 33026 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194250639 | 2017-04-21 | 2017-04-21 | 10406 TAFT ST, PEMBROKE PINES, FL, 330262819, US | 10406 TAFT ST, PEMBROKE PINES, FL, 330262819, US | |||||||||||||||||||||||||||||||
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| Phone | +1 954-436-3880 |
| Fax | 9544363881 |
Authorized person
| Name | MS. LESLEY DENNISSE ALFONSO |
| Role | PRESIDENT |
| Phone | 9544363880 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH6643 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 014019800 |
| State | FL |
| Issuer | MEDICAID |
| Number | 013846800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ALFONSO LESLEY D | Director | 3601 SOUTH LONGFELLOW CIRCLE, HOLLYWOOD, FL, 33021 |
| ALFONSO LESLEY D | President | 3601 SOUTH LONGFELLOW CIRCLE, HOLLYWOOD, FL, 33021 |
| ALFONSO LESLEY D | Secretary | 3601 SOUTH LONGFELLOW CIRCLE, HOLLYWOOD, FL, 33021 |
| ALFONSO LESLEY D | Treasurer | 3601 SOUTH LONGFELLOW CIRCLE, HOLLYWOOD, FL, 33021 |
| Alfonso Lesley D | Agent | 3601 S. Longfellow Circle, Hollywood, FL, 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| CHANGE OF MAILING ADDRESS | 2021-04-19 | 10406 TAFT STREET, PEMBROKE PINES, FL 33026 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-19 | 3601 S. Longfellow Circle, Hollywood, FL 33021 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-10-15 | 10406 TAFT STREET, PEMBROKE PINES, FL 33026 | - |
| REGISTERED AGENT NAME CHANGED | 2018-04-10 | Alfonso, Lesley D | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-04-23 |
| ANNUAL REPORT | 2019-01-28 |
| ANNUAL REPORT | 2018-04-10 |
| Domestic Profit | 2017-03-31 |
Date of last update: 02 May 2025
Sources: Florida Department of State
