| Entity Name: | MBS COUNSELING & FAMILY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Jan 2006 (19 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Apr 2024 (10 months ago) |
| Document Number: | L06000009944 |
| FEI/EIN Number | 830446387 |
| Address: | 11820 MIRAMAR PARKWAY, SUITE 224, MIRAMAR, FL, 33025, US |
| Mail Address: | 13022 NW 6 COURT, PEMBROKE PINES, FL, 33028, US |
| ZIP code: | 33025 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376967877 | 2014-02-05 | 2022-03-01 | 13022 NW 6TH CT, PEMBROKE PINES, FL, 330283107, US | 11820 MIRAMAR PKWY STE 224, MIRAMAR, FL, 330255818, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 954-547-3479 |
| Fax | 9544167846 |
Authorized person
| Name | VALARIE D FIELDS ERVIN |
| Role | CEO |
| Phone | 9545473479 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 104197900 |
| State | FL |
| Issuer | MEDICAID |
| Number | 1376967877 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ERVIN VALARIE F | Agent | 13022 NW 6 COURT, PEMBROKE PINES, FL, 33028 |
| Name | Role | Address |
|---|---|---|
| ERVIN VALARIE F | Managing Member | 10031 PINES BLVD, SUITE 218, PEMBROKE PINES, FL, 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-08 | ERVIN, VALARIE F | No data |
| REINSTATEMENT | 2024-04-08 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REINSTATEMENT | 2021-09-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REINSTATEMENT | 2020-06-29 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| LC NAME CHANGE | 2018-03-27 | MBS COUNSELING & FAMILY CENTER, LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-12-01 | 11820 MIRAMAR PARKWAY, SUITE 224, MIRAMAR, FL 33025 | No data |
| REINSTATEMENT | 2017-12-01 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-04-08 |
| REINSTATEMENT | 2021-09-30 |
| REINSTATEMENT | 2020-06-29 |
| LC Name Change | 2018-03-27 |
| REINSTATEMENT | 2017-12-01 |
| REINSTATEMENT | 2016-10-12 |
| REINSTATEMENT | 2015-11-04 |
| REINSTATEMENT | 2014-11-24 |
| ANNUAL REPORT | 2010-03-16 |
| REINSTATEMENT | 2009-10-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
