| Entity Name: | AUTHENTIC BEHAVIORAL HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
AUTHENTIC BEHAVIORAL HEALTH, LLC 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: | 05 Feb 2018 (7 years ago) |
| Document Number: | L18000032232 |
| FEI/EIN Number |
82-4443152
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2906 SW 195 Terrace, Miramar, FL 33029 |
| Mail Address: | 18459 Pines Boulevard, 120, Pembroke Pines, FL 33029 |
| ZIP code: | 33029 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487157715 | 2018-03-13 | 2022-01-12 | 18459 PINES BLVD STE 120, PEMBROKE PINES, FL, 330291400, US | 9050 PINES BLVD STE 450-00, PEMBROKE PINES, FL, 330246455, US | |||||||||||||||||
|
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| Phone | +1 954-715-5477 |
Authorized person
| Name | DR. LYDIA ROSA MALCOLM |
| Role | OWNER |
| Phone | 9547155477 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY10094 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MALCOLM, LYDIA R | Agent | 2906 SW 195 TERRACE, MIRAMAR, FL 33029 |
| MALCOLM, LYDIA R | Manager | 2906 SW 195 TERRACE, MIRAMAR, FL 33029 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-20 | 2906 SW 195 Terrace, Miramar, FL 33029 | - |
| CHANGE OF MAILING ADDRESS | 2025-01-20 | 2906 SW 195 Terrace, Miramar, FL 33029 | - |
| CHANGE OF MAILING ADDRESS | 2024-01-16 | 2906 SW 195 Terrace, 510, Miramar, FL 33029 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-09 | 2906 SW 195 Terrace, 510, Miramar, FL 33029 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-04 | 2906 SW 195 TERRACE, MIRAMAR, FL 33029 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-20 |
| ANNUAL REPORT | 2024-01-16 |
| ANNUAL REPORT | 2023-01-09 |
| ANNUAL REPORT | 2022-01-14 |
| ANNUAL REPORT | 2021-02-05 |
| ANNUAL REPORT | 2020-01-18 |
| ANNUAL REPORT | 2019-04-04 |
| Florida Limited Liability | 2018-02-05 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
