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LIVE & DREAM COMMUNITY MENTAL HEALTH INC

Company Details

Entity Name: LIVE & DREAM COMMUNITY MENTAL HEALTH INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 23 Aug 2022 (2 years ago)
Document Number: P22000066439
FEI/EIN Number 883927601
Address: 1900 N MILLS AVE SUITE, ORLANDO, FL, 32803, US
Mail Address: 1900 N MILLS AVE SUITE, ORLANDO, FL, 32803, US
ZIP code: 32803
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962114603 2022-12-14 2024-09-23 1900 N MILLS AVE STE 102, ORLANDO, FL, 328031444, US 1900 N MILLS AVE STE 102, ORLANDO, FL, 328031444, US

Contacts

Phone +1 347-614-0003

Authorized person

Name MRS. LISET MACIAS
Role OFFICER
Phone 3476140003

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
Is Primary No
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role Address
MACIAS JAUREGUI LISET Agent 440 NW 39TH AVE, MIAMI, FL, 33126

President

Name Role Address
MACIAS JAUREGUI LISET President 440 NW 39TH AVE, MIAMI, FL, 33126

Vice President

Name Role Address
YANES PADILLA JOSE E Vice President 440 NW 39TH AVE, MIAMI, FL, 33126

Manager

Name Role Address
DORTA SOSA YENNI Manager 440 NW 39TH AVE, MIAMI, FL, 33126

Authorized Person

Name Role Address
MARTIN RAMIREZ ARIAM L Authorized Person 440 NW 39TH AVE, MIAMI, FL, 33126

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-09-28 1900 N MILLS AVE SUITE, 102, ORLANDO, FL 32803 No data
CHANGE OF MAILING ADDRESS 2022-09-28 1900 N MILLS AVE SUITE, 102, ORLANDO, FL 32803 No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-26
Domestic Profit 2022-08-23

Date of last update: 03 Feb 2025

Sources: Florida Department of State