| Entity Name: | FENIX BEHAVIOR THERAPY CO. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 19 Apr 2018 (7 years ago) |
| Document Number: | P18000036486 |
| FEI/EIN Number | 82-5313625 |
| Address: | 12651 MCGregor Blvd, Ste 501, Fort Myers, FL 33919 |
| Mail Address: | 12651 MCGregor Blvd, Ste 501, Fort Myers, FL 33919 |
| ZIP code: | 33919 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184112906 | 2018-04-26 | 2024-07-23 | 6660 ESTERO BLVD UNIT B404, FORT MYERS BEACH, FL, 339314567, US | 1705 COLONIAL BLVD STE B4, FORT MYERS, FL, 339071141, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 239-628-6999 |
Authorized person
| Name | SUCEL TEJEDA |
| Role | CLINICAL DIRECTOR |
| Phone | 2396286999 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ, ALAIN | Agent | 6660 Estero Blvd, B404, FORT MYERS BEACH, FL 33931 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ, GERMAN | President | 6660 Estero Blvd, B404 FORT MYERS BEACH, FL 33931 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-28 | 12651 MCGregor Blvd, Ste 501, Fort Myers, FL 33919 | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-28 | 12651 MCGregor Blvd, Ste 501, Fort Myers, FL 33919 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-06 | 1705 Colonial Blv, Fort Myers, FL 33907 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-06 | 1705 Colonial Blv, Fort Myers, FL 33907 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-29 | 6660 Estero Blvd, B404, FORT MYERS BEACH, FL 33931 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-28 |
| AMENDED ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-01-05 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-12 |
| ANNUAL REPORT | 2019-02-08 |
| Domestic Profit | 2018-04-19 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
