| Entity Name: | S.M.A.R.T. BEHAVIORAL SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 21 Jan 2016 (9 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L16000014607 |
| Address: | 1034 MILLER DRIVE, ALTAMONTE SPRINGS, FL, 32701, US |
| Mail Address: | 1034 MILLER DRIVE, ALTAMONTE SPRINGS, FL, 32701, US |
| ZIP code: | 32701 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164884920 | 2016-03-22 | 2016-03-22 | 1034 MILLER DR, ALTAMONTE SPRINGS, FL, 327012099, US | 1034 MILLER DR, ALTAMONTE SPRINGS, FL, 327012099, US | |||||||||||||||||||||
|
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| Phone | +1 407-325-7043 |
| Fax | 4078314598 |
Authorized person
| Name | DIANA BETZ |
| Role | BEHAVIOR ANALYST |
| Phone | 4073257043 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003475900 |
| State | FL |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| BETZ DIANA J | Authorized Member | 1034 MILLER DRIVE, ALTAMONTE SPRINGS, FL, 32701 |
| BYFIELD MARIANNE E | Authorized Member | 1034 MILLER DRIVE, ALTAMONTE SPRINGS, FL, 32701 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-03 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2016-01-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
