| Entity Name: | LAKE NONA BEHAVIORAL HEALTH SERVICES, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
LAKE NONA BEHAVIORAL HEALTH SERVICES, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 12 Oct 2017 (8 years ago) |
| Document Number: | L17000211844 |
| FEI/EIN Number |
82-3077313
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 12617 NARCOOSSEE RD, ORLANDO, FL, 32832, US |
| Mail Address: | 12617 NARCOOSSEE RD, ORLANDO, FL, 32832, US |
| ZIP code: | 32832 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578108668 | 2019-11-12 | 2022-11-25 | 10437 MOSS PARK RD STE B, ORLANDO, FL, 328325812, US | 10437 MOSS PARK RD STE B, ORLANDO, FL, 328325812, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 407-808-5773 |
| Fax | 3212369134 |
Authorized person
| Name | DR. SYLVIA JOHNSON |
| Role | OWNER |
| Phone | 4078085773 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| JOHNSON SYLVIA B | Manager | 12617 NARCOOSSEE RD, ORLANDO, FL, 32832 |
| JOHNSON JR STANLEY E | Auth | 12617 NARCOOSSEE RD, ORLANDO, FL, 32832 |
| JOHNSON SYLVIA BDR. | Agent | 12617 NARCOOSSEE RD, ORLANDO, FL, 32832 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-30 | 12617 NARCOOSSEE RD, SUITE 110, ORLANDO, FL 32832 | - |
| CHANGE OF MAILING ADDRESS | 2024-04-30 | 12617 NARCOOSSEE RD, SUITE 110, ORLANDO, FL 32832 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-30 | 12617 NARCOOSSEE RD, SUITE 110, ORLANDO, FL 32832 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-04-24 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-17 |
| Florida Limited Liability | 2017-10-12 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7482007107 | 2020-04-14 | 0491 | PPP | 6900 TAVISTOCK LAKE BLVD SUITE 400, ORLANDO, FL, 32827 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 02 Apr 2025
Sources: Florida Department of State
