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LA FAMILIA MENTAL HEALTH INC

Company Details

Entity Name: LA FAMILIA MENTAL HEALTH INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 11 Jan 2021 (4 years ago)
Last Event: AMENDMENT
Event Date Filed: 19 Dec 2022 (2 years ago)
Document Number: P21000005659
FEI/EIN Number 86-1750706
Address: 1550 W 84 ST, #31, HIALEAH, FL 33014
Mail Address: 1550 W 84 ST, #31, HIALEAH, FL 33014
ZIP code: 33014
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356932586 2021-01-31 2022-11-28 1550 W 84TH ST STE 31, HIALEAH, FL, 33014, US 1550 W 84TH ST STE 31, HIALEAH, FL, 330143355, US

Contacts

Phone +1 305-742-5163
Phone +1 305-901-1191
Fax 7866155635

Authorized person

Name MRS. ISIS MASSON
Role PRESIDENT
Phone 3059011191

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary No
Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary No

Agent

Name Role Address
MASSON, ISIS Agent 1850 WEST 84 ST, HIALEAH, FL 33014

President

Name Role Address
MASSON, ISIS President 1850 WEST 84 ST, HIALEAH, FL 33014-3251

Vice President

Name Role Address
ALVAREZ, REINALDO Vice President 25 E 9 COURT, HIALEAH, FL 33010
MARTINEZ, CARLOS A Vice President 1403 W 42 ST, HIALEAH, FL 33012

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000060958 LA CAPITAL MEDICAL CENTER ACTIVE 2022-05-16 2027-12-31 No data 1550 W 84 STREET, SUITE 31, HIALEAH, FL, 33014
G22000006314 LA FAMILIA MEDICAL GROUP ACTIVE 2022-01-18 2027-12-31 No data 1550 W 84 STREET, SUITE 31, HIALEAH, FL, 33014

Events

Event Type Filed Date Value Description
AMENDMENT 2022-12-19 No data No data
CHANGE OF PRINCIPAL ADDRESS 2021-10-19 1550 W 84 ST, #31, HIALEAH, FL 33014 No data
CHANGE OF MAILING ADDRESS 2021-10-19 1550 W 84 ST, #31, HIALEAH, FL 33014 No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-07-29
ANNUAL REPORT 2024-03-07
ANNUAL REPORT 2023-02-28
Amendment 2022-12-19
ANNUAL REPORT 2022-03-08
Domestic Profit 2021-01-11

Date of last update: 15 Jan 2025

Sources: Florida Department of State