| Entity Name: | HALL BEHAVIORAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Apr 2017 (8 years ago) |
| Document Number: | L17000083077 |
| FEI/EIN Number | 821211422 |
| Address: | 1320 NE 200TH TERRACE, MIAMI, FL, 33179, US |
| Mail Address: | 1320 NE 200TH TERRACE, MIAMI, FL, 33179, US |
| ZIP code: | 33179 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548773955 | 2017-11-07 | 2017-11-07 | 1320 NE 200TH TER, MIAMI, FL, 331795138, US | 1320 NE 200TH TER, MIAMI, FL, 331795138, US | |||||||||||||||||||
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| Phone | +1 305-785-4864 |
Authorized person
| Name | DAYLAN FREDRICK HALL |
| Role | CEO/OWNER/PROVIDER |
| Phone | 3057854864 |
Taxonomy
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 687028 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HALL DAYLAN F | Agent | 1320 NE 200TH TERRACE, MIAMI, FL, 33179 |
| Name | Role | Address |
|---|---|---|
| HALL DAYLAN | Chief Executive Officer | 1320 NE 200TH TERRACE, MIAMI, FL, 33179 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-14 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-22 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-01-24 |
| ANNUAL REPORT | 2018-01-18 |
| Florida Limited Liability | 2017-04-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
