| Entity Name: | PSYCHIATRY WELLNESS CENTER PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PSYCHIATRY WELLNESS CENTER PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 20 Mar 2020 (5 years ago) |
| Date of dissolution: | 28 Nov 2022 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 Nov 2022 (2 years ago) |
| Document Number: | P20000025269 |
| FEI/EIN Number |
85-0517290
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6801 LAKE WORTH RD, SUITE 201-202, GREENACRES, FL, 33467, US |
| Mail Address: | 6801 LAKE WORTH RD, SUITE 201-202, GREENACRES, FL, 33467, US |
| ZIP code: | 33467 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386271849 | 2020-03-25 | 2022-09-20 | 6801 LAKE WORTH RD STE 213-214, LAKE WORTH, FL, 334672955, US | 6801 LAKE WORTH RD STE 213-214, GREENACRES, FL, 334672955, US | |||||||||||||||||||||
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| Phone | +1 561-444-2351 |
| Fax | 5614697089 |
Authorized person
| Name | JANELL LYNN TABORA |
| Role | DIRECTOR |
| Phone | 6026969272 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 107183900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TABORA JANELL | Vice President | 6801 LAKE WORTH RD SUITE 213-214, GREENACRES, FL, 33467 |
| DAVIS EBONY R | President | 6801 LAKE WORTH RD SUITE 213-214, GREENACRES, FL, 33467 |
| Davis Ebony R | Agent | 6801 LAKE WORTH RD, GREENACRES, FL, 33467 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-11-28 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-29 | 6801 LAKE WORTH RD, SUITE 201-202, GREENACRES, FL 33467 | - |
| CHANGE OF MAILING ADDRESS | 2022-04-29 | 6801 LAKE WORTH RD, SUITE 201-202, GREENACRES, FL 33467 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-29 | 6801 LAKE WORTH RD, SUITE 201-202, GREENACRES, FL 33467 | - |
| REGISTERED AGENT NAME CHANGED | 2021-03-30 | Davis, Ebony Renae | - |
| AMENDMENT | 2020-05-18 | - | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-11-28 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-03-30 |
| Amendment | 2020-05-18 |
| Domestic Profit | 2020-03-20 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
