| Entity Name: | LIFELONG BEHAVIORAL SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Sep 2017 (7 years ago) |
| Document Number: | L17000195400 |
| FEI/EIN Number | 82-2844568 |
| Address: | 4629 Church Street, MILTON, FL, 32583, US |
| Mail Address: | 4629 Church Street, MILTON, FL, 32583, US |
| ZIP code: | 32583 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538679832 | 2017-10-02 | 2022-09-19 | 4629 CHURCH ST, MILTON, FL, 325834107, US | 4629 CHURCH ST, MILTON, FL, 325834107, US | |||||||||||||||||
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| Phone | +1 850-503-6636 |
| Fax | 8506266132 |
Authorized person
| Name | MARLENE ELAINE LOEWEN |
| Role | BEHAVIOR ANALYST |
| Phone | 8506266132 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| License Number | 1-13-13522 |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOEWEN MARLENE E | Agent | 4629 Church Street, MILTON, FL, 32583 |
| Name | Role | Address |
|---|---|---|
| LOEWEN MARLENE E | Managing Member | 4629 Church Street, Milton, FL, 32583 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-28 | 4629 Church Street, MILTON, FL 32583 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-09-02 | 4629 Church Street, MILTON, FL 32583 | No data |
| CHANGE OF MAILING ADDRESS | 2022-09-02 | 4629 Church Street, MILTON, FL 32583 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-02 |
| ANNUAL REPORT | 2024-02-21 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-02-06 |
| ANNUAL REPORT | 2021-03-05 |
| ANNUAL REPORT | 2020-02-05 |
| ANNUAL REPORT | 2019-02-19 |
| ANNUAL REPORT | 2018-04-28 |
| Florida Limited Liability | 2017-09-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
