| Entity Name: | LOTUS MENTAL HEALTH GROUP, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Mar 2018 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 06 Dec 2022 (2 years ago) |
| Document Number: | P18000023711 |
| FEI/EIN Number | 82-4717157 |
| Address: | 4175 Amber Street, Boulder, CO, 80304, US |
| Mail Address: | 1193 SE Port St Lucie Blvd, Port St Lucie, FL, 34952, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982375739 | 2021-09-22 | 2021-09-22 | 6671 W INDIANTOWN RD STE 50-153, JUPITER, FL, 334583991, US | 6671 W INDIANTOWN RD STE 50-153, JUPITER, FL, 334583991, US | |||||||||||||
|
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| Phone | +1 561-205-6887 |
Authorized person
| Name | DR. KATRINA CARRERA |
| Role | LICENSED PSYCHOLOGIST |
| Phone | 5612056887 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MACIAS TIARE | Agent | 1193 SE Port St Lucie Blvd, Port St Lucie, FL, 34952 |
| Name | Role | Address |
|---|---|---|
| CARRERA KATRINA | President | 4175 AMBER STREET, BOULDER, CO, 80304 |
| Name | Role | Address |
|---|---|---|
| CARRERA JOHN | Chief Financial Officer | 4175 AMBER STREET, BOULDER, CO, 80304 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-30 | 1193 SE Port St Lucie Blvd, #139, Port St Lucie, FL 34952 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-30 | 4175 Amber Street, Boulder, CO 80304 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-30 | 4175 Amber Street, Boulder, CO 80304 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-04-29 | MACIAS, TIARE | No data |
| REINSTATEMENT | 2022-12-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| AMENDMENT | 2021-10-04 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2021-09-07 | LOTUS MENTAL HEALTH GROUP, P.A. | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-03-27 |
| REINSTATEMENT | 2022-12-06 |
| Amendment | 2021-10-04 |
| Amendment and Name Change | 2021-09-07 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-05-01 |
| Domestic Profit | 2018-03-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
