| Entity Name: | INSIGHT BEHAVIORAL HEALTH SPECIALISTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Dec 2014 (10 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 29 Aug 2024 (6 months ago) |
| Document Number: | L14000190918 |
| FEI/EIN Number | 47-2574442 |
| Address: | 618 N Main St, KISSIIMMEE, FL, 34744, US |
| Mail Address: | 618 N Main St, KISSIMMEE, FL, 34744, US |
| ZIP code: | 34744 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992241012 | 2017-01-12 | 2017-01-12 | PO BOX 42163, KISSIMMEE, FL, 347425262, US | 618 N MAIN ST, KISSIMMEE, FL, 347445262, US | |||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 407-343-6006 |
| Fax | 4073438289 |
Authorized person
| Name | MR. HECTOR L RODRIGUEZ |
| Role | PROVIDER LIASON |
| Phone | 4073436006 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA11819 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 017873000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BARRETO OLGA A | Agent | 618 N Main St, KISSIIMMEE, FL, 34744 |
| Name | Role | Address |
|---|---|---|
| BARRETO OLGA A | Chief Executive Officer | 1415 West Oak St, KISSIIMMEE, FL, 34742 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000001204 | INSIGHT THERAPY SERVICES | EXPIRED | 2017-01-04 | 2022-12-31 | No data | P O BOX 421163, KISSIMMEE, FL, 34742 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-08-29 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REINSTATEMENT | 2022-10-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REINSTATEMENT | 2019-10-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-24 | 618 N Main St, KISSIIMMEE, FL 34744 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-24 | 618 N Main St, KISSIIMMEE, FL 34744 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-24 | 618 N Main St, KISSIIMMEE, FL 34744 | No data |
| REINSTATEMENT | 2015-10-29 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J18000663302 | TERMINATED | 1000000795377 | OSCEOLA | 2018-08-31 | 2028-09-26 | $ 500.64 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-08-29 |
| REINSTATEMENT | 2022-10-01 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-03-17 |
| REINSTATEMENT | 2019-10-14 |
| ANNUAL REPORT | 2018-03-24 |
| ANNUAL REPORT | 2017-04-11 |
| ANNUAL REPORT | 2016-04-15 |
| REINSTATEMENT | 2015-10-29 |
| Florida Limited Liability | 2014-12-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
