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OPULENT BEHAVIORAL HEALTHCARE, INC.

Company Details

Entity Name: OPULENT BEHAVIORAL HEALTHCARE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 01 Jul 2021 (4 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: P21000061050
Address: 565 NW 29TH AVENUE, FORT LAUDERDALE, FL, 33311, US
Mail Address: 565 NW 29TH AVENUE, FORT LAUDERDALE, FL, 33313, US
ZIP code: 33311
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952971962 2021-06-30 2021-06-30 565 NW 29TH AVE, FORT LAUDERDALE, FL, 333117635, US 565 NW 29TH AVE, FORT LAUDERDALE, FL, 333117635, US

Contacts

Phone +1 954-701-9547

Authorized person

Name MR. ANDREW B WILSON
Role PRESIDENT
Phone 9547019547

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role Address
WILSON ANDREW Agent 565 NW 29TH AVENUE, FORT LAUDERDALE, FL, 33311

President

Name Role Address
WILSON ANDREW President 565 NW 29TH AVENUE, FORT LAUDERDALE, FL, 33311

Officer

Name Role Address
SAUNDERS JUDITH Officer 565 NW 29TH AVENUE, FORT LAUDERDALE, FL, 33313
RUSSELL MARIE Officer 300 S PINE ISLAND RD., PLANTATION, FL, 33324

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data

Documents

Name Date
Domestic Profit 2021-07-01

Date of last update: 01 Feb 2025

Sources: Florida Department of State