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CREATIVE SOLUTIONS BEHAVIORAL HEALTH LLC - Florida Company Profile

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Company Details

Entity Name: CREATIVE SOLUTIONS BEHAVIORAL HEALTH LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 25 Feb 2016 (10 years ago)
Date of dissolution: 28 Sep 2018 (7 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2018 (7 years ago)
Document Number: L16000039557
FEI/EIN Number 81-5423566
Address: 12630 YARDLEY DRIVE, BOCA RATON, FL, 33428
Mail Address: C/O T R The Taxman Inc, 9858 Clint MOore Rd, BOCA RATON, FL, 33496, US
ZIP code: 33428
City: Boca Raton
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FORMAN FIONA Manager 12630 YARDLEY DRIVE, BOCA RATON, FL, 33428
KELLEN SIMEON Manager 7222 CARMEL COURT, BOCA RATON, FL, 33433
T R The Taxman Inc Agent 9858 Clint MOore Rd, BOCA RATON, FL, 33496

National Provider Identifier

NPI Number:
1457595621

Authorized Person:

Name:
MISS SYLVIA MULTARI
Role:
CLINICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
103K00000X - Behavior Analyst
Is Primary:
No
Selected Taxonomy:
103K00000X - Behavior Analyst
Is Primary:
No
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Fax:
4077440167

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 - -
CHANGE OF MAILING ADDRESS 2017-02-21 12630 YARDLEY DRIVE, BOCA RATON, FL 33428 -
REGISTERED AGENT NAME CHANGED 2017-02-21 T R The Taxman Inc -
REGISTERED AGENT ADDRESS CHANGED 2017-02-21 9858 Clint MOore Rd, Suite C111-131, BOCA RATON, FL 33496 -

Documents

Name Date
ANNUAL REPORT 2017-02-21
Florida Limited Liability 2016-02-25

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Date of last update: 03 Aug 2025

Sources: Florida Department of State