| Entity Name: | VIDA MENTAL HEALTH SERVICES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 03 Jul 2019 (6 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 22 Oct 2021 (3 years ago) |
| Document Number: | P19000055414 |
| FEI/EIN Number | 84-2419997 |
| Address: | 7745 NW 146th Street #F1, Miami Lakes, FL 33016 |
| Mail Address: | 7745 NW 146th Street #F1, Miami Lakes, FL 33016 |
| ZIP code: | 33016 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275145898 | 2020-08-17 | 2024-09-10 | 7745 NW 146TH ST # F1, MIAMI LAKES, FL, 330161559, US | 7745 NW 146TH ST # F1ANDF2, MIAMI LAKES, FL, 330161559, US | |||||||||||||||||||||||
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| Phone | +1 786-633-5992 |
| Fax | 7864202151 |
Authorized person
| Name | YELENA INGUANZO |
| Role | PRESIDENT |
| Phone | 3056135125 |
Taxonomy
| 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 |
| Name | Role | Address |
|---|---|---|
| Inguanzo, Yelena | Agent | 7745 NW 146th Street #F1, Miami Lakes, FL 33016 |
| Name | Role | Address |
|---|---|---|
| INGUANZO, YELENA | President | 7745 NW 146th Street, #F1 Miami Lakes, FL 33016 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000009526 | LIFE MEDICAL CENTER | ACTIVE | 2023-01-19 | 2028-12-31 | No data | 306 WESTWARD DR, MIAMI SPRINGS, FL, 33166 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-04 | 7745 NW 146th Street #F1, Miami Lakes, FL 33016 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-04 | 7745 NW 146th Street #F1, Miami Lakes, FL 33016 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-04 | 7745 NW 146th Street #F1, Miami Lakes, FL 33016 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-04-20 | Inguanzo, Yelena | No data |
| AMENDMENT | 2021-10-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| AMENDED ANNUAL REPORT | 2023-10-04 |
| ANNUAL REPORT | 2023-04-11 |
| AMENDED ANNUAL REPORT | 2022-09-27 |
| ANNUAL REPORT | 2022-04-20 |
| Amendment | 2021-10-22 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-03-25 |
| Domestic Profit | 2019-07-03 |
Date of last update: 16 Feb 2025
Sources: Florida Department of State
