Entity Name: | LB MENTAL HEALTH, INC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Inactive |
Date Filed: | 19 Nov 2020 (4 years ago) |
Date of dissolution: | 27 Sep 2024 (5 months ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 27 Sep 2024 (5 months ago) |
Document Number: | P20000092355 |
FEI/EIN Number | 85-4134430 |
Address: | 3302 WEST 97TH TERR, HIALEAH, FL 33018 |
Mail Address: | 3302 WEST 97TH TERR, HIALEAH, FL 33018 |
ZIP code: | 33018 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1942937271 | 2022-08-05 | 2022-08-05 | 3302 W 97TH TER, HIALEAH, FL, 330182044, US | 3302 W 97TH TER, HIALEAH, FL, 330182044, US | |||||||||||||||||||
|
Phone | +1 786-356-1123 |
Authorized person
Name | LAURA ALICIA BESADA |
Role | PMHNP-BC |
Phone | 7863561123 |
Taxonomy
Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
Is Primary | Yes |
Other Provider Identifiers
Issuer | NPI |
Number | 1972117000 |
State | FL |
Name | Role | Address |
---|---|---|
BESADA, LAURA A | Agent | 3302 WEST 97TH TERR, HIALEAH, FL 33018 |
Name | Role | Address |
---|---|---|
BESADA, LAURA A | President | 3302 WEST 97TH TERR, HIALEAH, FL 33018 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G23000051143 | ECHO MENTAL HEALTH | ACTIVE | 2023-04-23 | 2028-12-31 | No data | 3302 WEST 97TH TERRACE, HIALEAH, FL, 33018 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2023-02-10 |
ANNUAL REPORT | 2022-07-14 |
ANNUAL REPORT | 2021-04-13 |
Domestic Profit | 2020-11-19 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State