| Entity Name: | CREATIVE COMMUNITY MENTAL HEALTH INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 14 May 2019 (6 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | P19000042270 |
| FEI/EIN Number | 84-1848055 |
| Address: | 381 NORTH KROME AVE, 206, HOMESTEAD, FL 33030 |
| Mail Address: | 381 NORTH KROME AVE, 206, HOMESTEAD, FL 33030 |
| ZIP code: | 33030 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023677432 | 2019-06-10 | 2022-04-29 | 381 N KROME AVE STE 206, HOMESTEAD, FL, 330306047, US | 381 N KROME AVE STE 206, HOMESTEAD, FL, 330306047, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 786-601-9202 |
| Fax | 7866686398 |
Authorized person
| Name | MRS. ANNETTE FIGAROLA |
| Role | AUTHORIZED OFFICAL |
| Phone | 3059924008 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1023677432 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Figarola, Annette | Agent | 381 NORTH KROME AVE, 206, HOMESTEAD, FL 33030 |
| Name | Role | Address |
|---|---|---|
| Figarola, Annette | Director | 381 NORTH KROME AVE, 206 HOMESTEAD, FL 33030 |
| Name | Role | Address |
|---|---|---|
| Figarola, Annette | President | 381 NORTH KROME AVE, 206 HOMESTEAD, FL 33030 |
| Name | Role | Address |
|---|---|---|
| Figarola, Annette | Secretary | 381 NORTH KROME AVE, 206 HOMESTEAD, FL 33030 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000108826 | AAA MEDICAL CENTER | ACTIVE | 2021-08-23 | 2026-12-31 | No data | 381 NORTH KROME AVE, HOMESTEAD, FL, 33030 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REINSTATEMENT | 2022-10-03 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-11-16 | Figarola, Annette | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-11-02 | 381 NORTH KROME AVE, 206, HOMESTEAD, FL 33030 | No data |
| CHANGE OF MAILING ADDRESS | 2020-11-02 | 381 NORTH KROME AVE, 206, HOMESTEAD, FL 33030 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-11-02 | 381 NORTH KROME AVE, 206, HOMESTEAD, FL 33030 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-03-06 |
| REINSTATEMENT | 2022-10-03 |
| AMENDED ANNUAL REPORT | 2021-08-18 |
| ANNUAL REPORT | 2021-03-25 |
| AMENDED ANNUAL REPORT | 2020-11-16 |
| AMENDED ANNUAL REPORT | 2020-11-02 |
| ANNUAL REPORT | 2020-06-25 |
| Domestic Profit | 2019-05-14 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
