| Entity Name: | HOLLADAY CHILD DEVELOPMENT SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Aug 2004 (20 years ago) |
| Document Number: | L04000065090 |
| FEI/EIN Number | 201545700 |
| Address: | 5302 S FLORIDA AVE, SUITE 202, LAKELAND, FL, 33813, US |
| Mail Address: | 5302 S FLORIDA AVE, SUITE 202, LAKELAND, FL, 33813, US |
| ZIP code: | 33813 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295067593 | 2010-02-11 | 2024-10-11 | 5302 S FLORIDA AVE, SUITE 202, LAKELAND, FL, 338134922, US | 5302 S FLORIDA AVE, SUITE 202, LAKELAND, FL, 338134922, US | |||||||||||||||||||||||||
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| Phone | +1 863-937-8067 |
| Fax | 8636076207 |
Authorized person
| Name | JOANNA MARIE SITTA |
| Role | OWNER |
| Phone | 8639378067 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| License Number | 1-04-1686 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 01443200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Sitta Joanna | Agent | 5302 S FLORIDA AVE, LAKELAND, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| Sitta Joanna | Manager | 5302 S FLORIDA AVE, LAKELAND, FL, 33813 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000005962 | HOLLADAY CONSULTING | ACTIVE | 2022-01-17 | 2027-12-31 | No data | 517 E CAUSEWAY BLVD, VERO BEACH, FL, 32963 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-09-02 | Sitta, Joanna | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-10 | 5302 S FLORIDA AVE, SUITE 202, LAKELAND, FL 33813 | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-10 | 5302 S FLORIDA AVE, SUITE 202, LAKELAND, FL 33813 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-10 | 5302 S FLORIDA AVE, SUITE 202, LAKELAND, FL 33813 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-09-02 |
| ANNUAL REPORT | 2024-03-08 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-03-09 |
| ANNUAL REPORT | 2019-03-12 |
| ANNUAL REPORT | 2018-02-02 |
| ANNUAL REPORT | 2017-02-22 |
| ANNUAL REPORT | 2016-03-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
