| Entity Name: | FORBES BEHAVIORAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 02 Jun 2016 (9 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L16000107101 |
| FEI/EIN Number | 81-2897773 |
| Address: | 121 N HIGHLAND ST, MOUNT DORA, FL, 32757, US |
| Mail Address: | 121 N HIGHLAND ST, MOUNT DORA, FL, 32757, US |
| ZIP code: | 32757 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346793320 | 2016-07-26 | 2016-07-26 | 802 SHIRLEY AVE, MOUNT DORA, FL, 327575770, US | 802 SHIRLEY AVE, MOUNT DORA, FL, 327575770, US | |||||||||||||
|
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| Phone | +1 407-538-9095 |
Authorized person
| Name | NICOLE C FORBES |
| Role | OWNER |
| Phone | 4075389095 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Forbes Nicole | Agent | 121 N. Highland St., Mount Dora, FL, 32757 |
| Name | Role | Address |
|---|---|---|
| Forbes Nicole C | Authorized Member | 121 N. Highland St., Mount Dora, FL, 32757 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-23 | 121 N HIGHLAND ST, MOUNT DORA, FL 32757 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-23 | 121 N HIGHLAND ST, MOUNT DORA, FL 32757 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-23 | 121 N. Highland St., Mount Dora, FL 32757 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-02-11 | Forbes, Nicole | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-03-15 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-01-23 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-07-12 |
| Florida Limited Liability | 2016-06-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
