| Entity Name: | EVOLVE BEHAVIORAL HEALTH INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 31 Aug 2018 (6 years ago) |
| Document Number: | P18000074692 |
| FEI/EIN Number | 83-1898339 |
| Address: | 3331 EAST RIVERSIDE DRIVE, FORT MYERS, FL, 33916, US |
| Mail Address: | 3331 EAST RIVERSIDE DRIVE, Fort Myers, FL, 33916, US |
| ZIP code: | 33916 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538810304 | 2022-01-13 | 2022-08-29 | 14260 METROPOLIS AVE STE 101, FORT MYERS, FL, 339124436, US | 14260 METROPOLIS AVE STE 102, FORT MYERS, FL, 339124436, US | |||||||||||||||||||||
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| Phone | +1 239-880-3990 |
Authorized person
| Name | MR. BRIAN WALOWITZ |
| Role | DIRECTOR OF TECHNOLOGY |
| Phone | 2398803990 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Coors Janet | Agent | 3331 EAST RIVERSIDE DRIVE, FORT MYERS, FL, 33916 |
| Name | Role | Address |
|---|---|---|
| Immoor Lauren | Chief Financial Officer | 3331 EAST RIVERSIDE DRIVE, Fort Myers, FL, 33916 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000148178 | TELEREACHNOW | ACTIVE | 2020-11-18 | 2025-12-31 | No data | 14260 METROPOLIS AVENUE, FORT MYERS, FL, 33912 |
| G19000073337 | CELADON RECOVERY | ACTIVE | 2019-07-02 | 2029-12-31 | No data | 3331 EAST RIVERSIDE DRIVE, FORT MYERS, FL, 33916 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-24 | 3331 EAST RIVERSIDE DRIVE, FORT MYERS, FL 33916 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-04-24 | Coors, Janet | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-06 | 3331 EAST RIVERSIDE DRIVE, FORT MYERS, FL 33916 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-03-06 |
| Reg. Agent Change | 2022-08-15 |
| ANNUAL REPORT | 2022-04-29 |
| Reg. Agent Change | 2021-09-24 |
| ANNUAL REPORT | 2021-01-22 |
| ANNUAL REPORT | 2020-03-30 |
| Reg. Agent Change | 2019-10-28 |
| Reg. Agent Change | 2019-04-23 |
| ANNUAL REPORT | 2019-02-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
