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BLUE SKY MENTAL HEALTH ACCESS, INC. - Florida Company Profile

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Company Details

Entity Name: BLUE SKY MENTAL HEALTH ACCESS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 11 Jan 2023 (3 years ago)
Document Number: P23000004078
FEI/EIN Number 921870143
Address: 641 Maple Oak Cir, Altamonte Springs, FL, 32701, US
Mail Address: 5454 Zelzah Ave Apartment 315, Encino, CA, 91316, US
ZIP code: 32701
City: Altamonte Springs
County: Seminole
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MONTANEZ RUBEN President 641 Maple Oak Cir, Altamonte Springs, FL, 32701
AGUILAR JOSE Vice President 641 Maple Oak Cir, Altamonte Springs, FL, 32701
MONTANEZ RUBEN Agent 641 Maple Oak Cir, Altamonte Springs, FL, 32701

National Provider Identifier

NPI Number:
1396451258
Certification Date:
2023-01-24

Authorized Person:

Name:
JOSE AGUILAR
Role:
VICE PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-06-25 641 Maple Oak Cir, # 101, Altamonte Springs, FL 32701 -
REGISTERED AGENT ADDRESS CHANGED 2024-06-25 641 Maple Oak Cir, # 101, Altamonte Springs, FL 32701 -
CHANGE OF MAILING ADDRESS 2023-10-04 641 Maple Oak Cir, # 101, Altamonte Springs, FL 32701 -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-06-25
ANNUAL REPORT 2024-02-05
Domestic Profit 2023-01-11

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Date of last update: 03 Aug 2025

Sources: Florida Department of State