| Entity Name: | BEACON BEHAVIORAL HEALTH SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 Apr 2017 (8 years ago) |
| Document Number: | L17000085540 |
| FEI/EIN Number | 82-1237547 |
| Mail Address: | 3044 MICHIGAN AVE., KISSIMMEE, FL 34744 |
| Address: | 3501 W VINE ST, KISSIMMEE, FL 34741 |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639603335 | 2017-04-19 | 2017-04-19 | 3044 MICHIGAN AVE, KISSIMMEE, FL, 347441210, US | 3044 MICHIGAN AVE, KISSIMMEE, FL, 347441210, US | |||||||||||||
|
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| Phone | +1 407-927-9617 |
Authorized person
| Name | MARIANNE LOPEZ |
| Role | CEO |
| Phone | 4079279619 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOPEZ, MARIANNE | Agent | 3044 MICHIGAN AVE., KISSIMMEE, FL 34744 |
| Name | Role | Address |
|---|---|---|
| LOPEZ, MARIANNE | Chief Executive Officer | 3044 MICHIGAN AVE., KISSIMMEE, FL 34744 |
| Name | Role | Address |
|---|---|---|
| CEPEDA, CARLOS | Authorized Person | 3044 MICHIGAN AVE., KISSIMMEE, FL 34744 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-09-02 | 3501 W VINE ST, KISSIMMEE, FL 34741 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-04-16 |
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-05-20 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-03-12 |
| Florida Limited Liability | 2017-04-17 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
