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PHP MENTAL HEALTH CENTER INC

Company Details

Entity Name: PHP MENTAL HEALTH CENTER INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 22 Aug 2023 (2 years ago)
Last Event: AMENDMENT
Event Date Filed: 17 Oct 2023 (a year ago)
Document Number: P23000061361
FEI/EIN Number 93-3080326
Address: 10665 SW 190TH UNIT 3213, CUTLER BAY, FL 33157
Mail Address: 10665 SW 190TH UNIT 3213, CUTLER BAY, FL 33157
ZIP code: 33157
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1437914512 2024-02-16 2024-02-16 10665 SW 190TH ST STE 3213, CUTLER BAY, FL, 331577706, US 10665 SW 190TH ST STE 3213, CUTLER BAY, FL, 331577706, US

Contacts

Phone +1 786-760-6451

Authorized person

Name ANACECILIA CASANOVA
Role PRESIDENT
Phone 7867606451

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
Is Primary Yes

Agent

Name Role Address
CASANOVA RODRIGUEZ, ANACECILIA Agent 10665 SW 190TH UNIT 3213, CUTLER BAY, FL 33157

President

Name Role Address
CASANOVA RODRIGUEZ, ANACECILIA President 10665 SW 190TH UNIT 3213, CUTLER BAY, FL 33157

Events

Event Type Filed Date Value Description
AMENDMENT 2023-10-17 No data No data
CHANGE OF PRINCIPAL ADDRESS 2023-10-17 10665 SW 190TH UNIT 3213, CUTLER BAY, FL 33157 No data
CHANGE OF MAILING ADDRESS 2023-10-17 10665 SW 190TH UNIT 3213, CUTLER BAY, FL 33157 No data
REGISTERED AGENT ADDRESS CHANGED 2023-10-17 10665 SW 190TH UNIT 3213, CUTLER BAY, FL 33157 No data

Documents

Name Date
ANNUAL REPORT 2024-03-28
Amendment 2023-10-17
Domestic Profit 2023-08-22

Date of last update: 09 Feb 2025

Sources: Florida Department of State