| Entity Name: | BEHAVIORAL SERVICES NETWORK, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Oct 2017 (7 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 05 Jan 2018 (7 years ago) |
| Document Number: | L17000217364 |
| FEI/EIN Number | 82-3133751 |
| Address: | 8200 NW 41ST ST, DORAL, FL, 33166, US |
| Mail Address: | 8200 NW 41ST ST, DORAL, FL, 33166, US |
| ZIP code: | 33166 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093298234 | 2018-09-13 | 2021-08-02 | 8200 NW 41ST ST STE 200, DORAL, FL, 331666204, US | 8200 NW 41ST ST STE 200, DORAL, FL, 331666204, US | |||||||||||||||||||
|
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| Phone | +1 305-907-7470 |
Authorized person
| Name | MARY SAIZ |
| Role | COO |
| Phone | 3059077470 |
Taxonomy
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 848773 |
| State | FL |
| Name | Role |
|---|---|
| L&N REGISTERED SERVICES LLC | Agent |
| Name | Role | Address |
|---|---|---|
| SAIZ MARY | Manager | 8200 NW 41ST ST, DORAL, FL, 33166 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-03-01 | L&N Registered Services LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-01 | 15175 NW 67 Avenue, Suite 201, Miami Lakes, FL 33014 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-08 | 8200 NW 41ST ST, SUITE 200, UNIT 95, DORAL, FL 33166 | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-08 | 8200 NW 41ST ST, SUITE 200, UNIT 95, DORAL, FL 33166 | No data |
| LC AMENDMENT | 2018-01-05 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-01 |
| ANNUAL REPORT | 2023-02-04 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-01-09 |
| ANNUAL REPORT | 2020-02-15 |
| ANNUAL REPORT | 2019-02-01 |
| ANNUAL REPORT | 2018-01-31 |
| LC Amendment | 2018-01-05 |
| Florida Limited Liability | 2017-10-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
