| Entity Name: | MARVELLOUS BEHAVIORAL HEALTH AND MEDIATION, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Feb 2014 (11 years ago) |
| Document Number: | L14000030325 |
| FEI/EIN Number | 46-4937063 |
| Address: | 1015 GRACE AVENUE SUITE B, PANAMA CITY, FL, 32401, US |
| Mail Address: | 1015 GRACE AVENUE SUITE B, PANAMA CITY, FL, 32401, US |
| ZIP code: | 32401 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831600618 | 2017-10-19 | 2024-02-21 | 1015 GRACE AVE STE B, PANAMA CITY, FL, 324012494, US | 1015 GRACE AVE STE B, PANAMA CITY, FL, 324012494, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 850-215-1808 |
| Fax | 8502151895 |
Authorized person
| Name | MRS. MARVEL L. ESTES |
| Role | OWNER |
| Phone | 8506247898 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | MH12363 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Estes Marvel L | Agent | 1015 GRACE AVENUE,, PANAMA CITY, FL, 32401 |
| Name | Role | Address |
|---|---|---|
| ESTES MARVEL | Manager | 1015 GRACE AVENUE SUITE B, PANAMA CITY, FL, 32401 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-08 | 1015 GRACE AVENUE SUITE B, PANAMA CITY, FL 32401 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-08 | 1015 GRACE AVENUE SUITE B, PANAMA CITY, FL 32401 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-04-20 | Estes, Marvel L | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-20 | 1015 GRACE AVENUE,, SUITE B, PANAMA CITY, FL 32401 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-03-13 |
| ANNUAL REPORT | 2022-04-08 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-03-30 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-04-29 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-04-20 |
| ANNUAL REPORT | 2015-04-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
