| Entity Name: | HEALING PSYCHIATRY OF FLORIDA INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Mar 2021 (4 years ago) |
| Document Number: | P21000023741 |
| FEI/EIN Number | 86-2754241 |
| Address: | 108 West Citrus Street, Altamonte Springs, FL, 32714, US |
| Mail Address: | 108 West Citrus St, Altamonte Springs, FL, 32714, US |
| ZIP code: | 32714 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265018162 | 2021-03-22 | 2023-10-09 | 108 W CITRUS ST, ALTAMONTE SPRINGS, FL, 327142502, US | 108 W CITRUS ST, ALTAMONTE SPRINGS, FL, 327142502, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 386-383-3339 |
| Fax | 3212340252 |
Authorized person
| Name | ANASTASIYA PALOPOLI |
| Role | PRESIDENT/OFFICER |
| Phone | 3862186335 |
Taxonomy
| Taxonomy Code | 2084A0401X - Addiction Medicine (Psychiatry & Neurology) Physician |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 2084P0802X - Addiction Psychiatry Physician |
| Is Primary | Yes |
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 2084P0805X - Geriatric Psychiatry Physician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | I AM ATTACHING MY NPI NUMBER |
| Number | 1164947271 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Uhlenhopp Elvin A | Agent | 108 West Citrus Street, Altamonte Springs, FL, 32714 |
| Name | Role | Address |
|---|---|---|
| PALOPOLI ANASTASIYA | Chief Operating Officer | 108 West Citrus Street, Altamonte Springs, FL, 32714 |
| Name | Role | Address |
|---|---|---|
| Uhlenhopp Elvin | Chief Executive Officer | 108 West Citrus Street, Altamonte Springs, FL, 32714 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000038667 | SUBOXONE HEALTH CLINIC | ACTIVE | 2022-03-25 | 2027-12-31 | No data | 1495 S VOLUSIA AVE, SUITE 203, ORANGE CITY, FL, 32763 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-07-08 | 108 West Citrus Street, Altamonte Springs, FL 32714 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-07-08 | 108 West Citrus Street, Altamonte Springs, FL 32714 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-06 | 108 West Citrus Street, Altamonte Springs, FL 32714 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-01-21 | Uhlenhopp, Elvin A | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-07-08 |
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-01-06 |
| Domestic Profit | 2021-03-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
