| Entity Name: | PSYCHAMERICA BEHAVIORAL SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Feb 2010 (15 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 31 Jan 2022 (3 years ago) |
| Document Number: | L10000019130 |
| FEI/EIN Number | 273106259 |
| Address: | 7065 WESTPOINTE BLVD, ORLANDO, FL, 32835, US |
| Mail Address: | 7065 WESTPOINTE BLVD, ORLANDO, FL, 32835, US |
| ZIP code: | 32835 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619648169 | 2021-09-24 | 2022-07-05 | PO BOX 784719, WINTER GARDEN, FL, 347784719, US | 7065 WESTPOINTE BLVD STE 308, ORLANDO, FL, 328358758, US | |||||||||||||||||||||
|
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| Phone | +1 407-902-8331 |
| Phone | +1 800-630-1002 |
Authorized person
| Name | MAX MAGNASCO |
| Role | OWNER |
| Phone | 4079028331 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 014778600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| INNOVATIVE TAX SOLUTIONS OF CENTRAL FLORID | Agent | 1678 E SILVER STAR RD, OCOEE, FL, 34761 |
| Name | Role | Address |
|---|---|---|
| MAGNASCO MAX R | Owner | P.O. BOX 784719, WIINTER GARDEN, FL, 34778 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000074097 | LUKAS COUNSELING SERVICES LLC | ACTIVE | 2021-06-02 | 2026-12-31 | No data | 15155 W COLONIAL DRIVE, SUITE 784719, WINTER GARDEN, FL, 34787 |
| G18000112468 | BIG BEAR BEHAVIORAL HEALTH | EXPIRED | 2018-10-17 | 2023-12-31 | No data | 2700 WESTHALL LN, STE 207, MAITLAND, FL, 32751 |
| G15000108326 | LIFE LESSONS INC | EXPIRED | 2015-10-23 | 2020-12-31 | No data | POBOX 784719, WINTER GARDEN, FL, 34778 |
| G12000126909 | BIG BEAR BEHAVIORAL HEALTH INC | ACTIVE | 2012-12-29 | 2027-12-31 | No data | P.O.BOX 784719, WINTER GARDEN, FL, 34778 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-27 | 7065 WESTPOINTE BLVD, STE 308, ORLANDO, FL 32835 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-27 | 7065 WESTPOINTE BLVD, STE 308, ORLANDO, FL 32835 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-29 | 1678 E SILVER STAR RD, OCOEE, FL 34761 | No data |
| LC STMNT OF RA/RO CHG | 2022-01-31 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-01-31 | INNOVATIVE TAX SOLUTIONS OF CENTRAL FLORIDA INC | No data |
| LC AMENDMENT | 2016-01-25 | No data | No data |
| LC AMENDMENT | 2015-10-05 | No data | No data |
| LC AMENDMENT | 2013-04-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-02 |
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-29 |
| CORLCRACHG | 2022-01-31 |
| ANNUAL REPORT | 2021-03-10 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
