| Entity Name: | LA LUZ MENTAL HEALTH SERVICES, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Feb 2021 (4 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 12 Jul 2024 (7 months ago) |
| Document Number: | P21000017922 |
| FEI/EIN Number | 86-2058595 |
| Address: | 12700 SW 128TH ST STE 108, MIAMI, FL, 33186, US |
| Mail Address: | 12700 SW 128TH ST STE 108, MIAMI, FL, 33186, US |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962130054 | 2022-08-08 | 2024-09-30 | 12750 SW 128TH ST STE 212, MIAMI, FL, 331865381, US | 12700 SW 128TH ST STE 108, MIAMI, FL, 331865378, US | |||||||||||||||
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| Phone | +1 786-732-0865 |
| Fax | 7867320972 |
Authorized person
| Name | JACQUELINE GALAN |
| Role | CEO |
| Phone | 7867320865 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GALAN JACQUELINE | Agent | 3402 SW 89TH AVENUE, MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| GALAN JACQUELINE | President | 3402 SW 89TH AVE, MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| GALAN JACQUELINE | Chairman | 3402 SW 89TH AVE, MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| PICHS JESUS | Vice President | 12791 SW 228 ST, MIAMI, FL, 33170 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2024-07-12 | No data | No data |
| Name | Date |
|---|---|
| Amendment | 2024-07-12 |
| AMENDED ANNUAL REPORT | 2024-07-05 |
| ANNUAL REPORT | 2024-02-27 |
| ANNUAL REPORT | 2023-05-29 |
| AMENDED ANNUAL REPORT | 2022-08-26 |
| ANNUAL REPORT | 2022-03-31 |
| Domestic Profit | 2021-02-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
