| Entity Name: | PREMIER BEHAVIORAL HEALTH SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 06 Nov 2017 (7 years ago) |
| Document Number: | L17000229353 |
| FEI/EIN Number | 82-3331471 |
| Address: | 15800 PINES BOULEVARD, SUITE 3130, PEMBROKE PINES, FL 33027 |
| Mail Address: | PO BOX 4392, CHRISTIANSTED, VI 00822 |
| ZIP code: | 33027 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295224822 | 2018-05-09 | 2020-04-07 | PO BOX 224392, CHRISTIANSTED, VI, 008224392, US | 15800 PINES BLVD STE 300, PEMBROKE PINES, FL, 330271212, US | |||||||||||||||||||
|
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| Name | DR. DENESE MARSHALL |
| Role | CEO |
| Phone | 3402272881 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | Yes |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | PY8688 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MARSHALL, DENESE G | Agent | 15800 PINES BOULEVARD, 300, PEMBROKE PINES, FL 33027 |
| Name | Role | Address |
|---|---|---|
| MARSHALL, DENESE G, DR. | Chief Executive Officer | 15800 PINES BOULEVARD, SUITE 3130 PEMBROKE PINES, FL 33027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-09 | 15800 PINES BOULEVARD, SUITE 3130, PEMBROKE PINES, FL 33027 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-15 |
| ANNUAL REPORT | 2024-03-15 |
| ANNUAL REPORT | 2023-03-31 |
| ANNUAL REPORT | 2022-03-15 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-03-05 |
| ANNUAL REPORT | 2019-02-28 |
| Florida Limited Liability | 2017-11-06 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
