| Entity Name: | STEPS FOR CHANGE BEHAVIORAL HEALTHCARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 19 Sep 2016 (8 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L16000174479 |
| FEI/EIN Number | 45-3576411 |
| Address: | 634 1st St South, Winter Haven, FL 33880 |
| Mail Address: | 634 1st St South, Winter Haven, FL 33880 |
| ZIP code: | 33880 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952765596 | 2016-04-10 | 2016-10-19 | 634 1ST ST S, WINTER HAVEN, FL, 338803603, US | 634 1ST ST S, WINTER HAVEN, FL, 338803603, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-912-4574 |
| Fax | 3368241737 |
Authorized person
| Name | KIMESHA SPINKS |
| Role | CEO |
| Phone | 3363020801 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | Yes |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | ATN620797 |
| State | FL |
| Issuer | MEDICAID |
| Number | ATN620799 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SPINKS, KIMESHA K | Agent | 634 1ST ST., WINTER HAVEN, FL 33881 |
| Name | Role | Address |
|---|---|---|
| Spinks, Kimesha K | Manager | 634 1st, St South Winter Haven, FL 33880 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-13 | 634 1st St South, Winter Haven, FL 33880 | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-13 | 634 1st St South, Winter Haven, FL 33880 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-01-13 |
| Florida Limited Liability | 2016-09-19 |
Date of last update: 18 Feb 2025
Sources: Florida Department of State
