| Entity Name: | BRANDON MENTAL HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Jul 2011 (14 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 15 Nov 2013 (11 years ago) |
| Document Number: | L11000081547 |
| FEI/EIN Number | 263057261 |
| Address: | 1134 Bell Shoals Rd, BRANDON, FL, 33511, US |
| Mail Address: | 1134 Bell Shoals Rd, BRANDON, FL, 33511, US |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649421389 | 2008-09-30 | 2022-02-23 | 1134 BELL SHOALS RD., BRANDON, FL, 33511, US | 1134 BELL SHOALS RD., BRANDON, FL, 33511, US | |||||||||||||||||||
|
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| Phone | +1 813-315-8648 |
| Fax | 8134388973 |
Authorized person
| Name | MR. SHANE THOMAS RAYMOND |
| Role | C.E.O. |
| Phone | 8134016586 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | SW9082 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RAYMOND SHANE LSCW | Agent | 1134 Bell Shoals Rd, BRANDON, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| RAYMOND SHANE | Managing Member | 1134 Bell Shoals Rd, BRANDON, FL, 33511 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000117268 | BMH THERAPY | ACTIVE | 2017-10-24 | 2027-12-31 | No data | 1134 BELL SHOALS RD, BRANDON, FL, 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-29 | 1134 Bell Shoals Rd, BRANDON, FL 33511 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-29 | 1134 Bell Shoals Rd, BRANDON, FL 33511 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-29 | 1134 Bell Shoals Rd, BRANDON, FL 33511 | No data |
| LC AMENDMENT | 2013-11-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-02-27 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-02-04 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-02-06 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-03-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
