| Entity Name: | TRUE LIFE BEHAVIORAL CENTER, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 03 Nov 2022 (2 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | P22000084061 |
| FEI/EIN Number | 92-0966337 |
| Address: | 5600 SW 135 AVE, 207, MIAMI, FL 33183 |
| Mail Address: | 5600 SW 135 AVE STE 207, 207, MIAMI, FL 33183 |
| ZIP code: | 33183 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568169027 | 2023-02-14 | 2023-02-14 | 5600 SW 135TH AVE STE 207, MIAMI, FL, 331835101, US | 5600 SW 135TH AVE STE 207, MIAMI, FL, 331835101, US | |||||||||||||||||||||
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| Phone | +1 786-216-9484 |
| Fax | 7868664906 |
Authorized person
| Name | MS. IDALMIS RODRIGUEZ |
| Role | AUTHORIZED OFFICAL |
| Phone | 7862169484 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 112129000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, IDALMIS | Agent | 4437 SW 165 CT, MIAMI, FL 33185 |
| Name | Role | Address |
|---|---|---|
| Rodriguez, Idalmis | President | 4437 SW 165 Ct, MIAMI, FL 33185 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2023-02-06 |
| Domestic Profit | 2022-11-03 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
