| Entity Name: | BLUE SKY MENTAL HEALTH ACCESS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Jan 2023 (2 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 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396451258 | 2023-01-24 | 2023-01-24 | 8846 SW 6TH ST, MIAMI, FL, 331742460, US | 8846 SW 6TH ST, MIAMI, FL, 331742460, US | |||||||||||||
|
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| Phone | +1 786-486-8000 |
Authorized person
| Name | JOSE AGUILAR |
| Role | VICE PRESIDENT |
| Phone | 7864868000 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MONTANEZ RUBEN | Agent | 641 Maple Oak Cir, Altamonte Springs, FL, 32701 |
| Name | Role | Address |
|---|---|---|
| MONTANEZ RUBEN | President | 641 Maple Oak Cir, Altamonte Springs, FL, 32701 |
| Name | Role | Address |
|---|---|---|
| AGUILAR JOSE | Vice President | 641 Maple Oak Cir, Altamonte Springs, FL, 32701 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-06-25 | 641 Maple Oak Cir, # 101, Altamonte Springs, FL 32701 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-06-25 | 641 Maple Oak Cir, # 101, Altamonte Springs, FL 32701 | No data |
| CHANGE OF MAILING ADDRESS | 2023-10-04 | 641 Maple Oak Cir, # 101, Altamonte Springs, FL 32701 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-06-25 |
| ANNUAL REPORT | 2024-02-05 |
| Domestic Profit | 2023-01-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
