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FRESHSTARTS BEHAVIORAL THERAPY, LLC

Company Details

Entity Name: FRESHSTARTS BEHAVIORAL THERAPY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 17 Apr 2012 (13 years ago)
Document Number: L12000052160
FEI/EIN Number 45-5081272
Address: 9425 SW 72ND ST, MIAMI, FL, 33173, US
Mail Address: 9425 SW 72ND ST, MIAMI, FL, 33173, US
ZIP code: 33173
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1386905842 2012-05-31 2012-05-31 9360 SW 72ND ST STE 230, MIAMI, FL, 331733273, US 9360 SW 72ND ST STE 230, MIAMI, FL, 331733273, US

Contacts

Phone +1 305-279-2286
Fax 3052792287

Authorized person

Name TAYLOR HOLCOMB
Role MANAGER
Phone 3052792286

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
Is Primary No
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary No
Taxonomy Code 252Y00000X - Early Intervention Provider Agency
Is Primary Yes
Taxonomy Code 253Z00000X - In Home Supportive Care Agency
Is Primary No

Agent

Name Role
NEIMAN & INTERIAN, PLLC Agent

Manager

Name Role Address
WARNER BRETT Manager 9425 SW 72ND STREET, SUITE 164, MIAMI, FL, 33173
HOLCOMB TAYLOR Manager 9425 SW 72ND STREET, SUITE 164, MIAMI, FL, 33173

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000074643 THE ACA EXPIRED 2012-07-27 2017-12-31 No data 9360 SUNSET DRIVE, SUITE 230, MIAMI, FL, 33173
G12000074645 THE ACADVANTAGE EXPIRED 2012-07-27 2017-12-31 No data 9360 SUNSET DRIVE, SUITE 230, MIAMI, FL, 33173
G12000074644 FRESHSTART(S) EXPIRED 2012-07-27 2017-12-31 No data 9360 S.W. 72 ST., SUITE 230, MIAMI, FL, 33173

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-07-29 9425 SW 72ND ST, STE 164, MIAMI, FL 33173 No data
CHANGE OF MAILING ADDRESS 2024-07-29 9425 SW 72ND ST, STE 164, MIAMI, FL 33173 No data
REGISTERED AGENT NAME CHANGED 2018-01-23 NEIMAN & INTERIAN, PLLC No data
REGISTERED AGENT ADDRESS CHANGED 2018-01-23 2020 Ponce de Leon Blvd, Suite 1005-B, Coral Gables, FL 33134 No data

Documents

Name Date
ANNUAL REPORT 2025-01-21
ANNUAL REPORT 2024-01-30
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-03-12
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-01-08
ANNUAL REPORT 2018-01-23
ANNUAL REPORT 2017-02-13
ANNUAL REPORT 2016-01-25

Date of last update: 01 Feb 2025

Sources: Florida Department of State