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BETTER LIFE BEHAVIORAL SERVICES OF CENTRAL FLORIDA LLC

Company Details

Entity Name: BETTER LIFE BEHAVIORAL SERVICES OF CENTRAL FLORIDA LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 19 Jul 2018 (7 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 12 Sep 2018 (6 years ago)
Document Number: L18000174023
FEI/EIN Number 83-1287305
Address: 1650 W. MAIN ST., LEESBURG, FL 34748
Mail Address: 1650 W. MAIN ST., LEESBURG, FL 34748
ZIP code: 34748
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790447464 2021-10-11 2021-10-11 7555 CLAXSTRAUSS DR, SARASOTA, FL, 342409699, US 7555 CLAXSTRAUSS DR, SARASOTA, FL, 342409699, US

Contacts

Phone +1 352-314-3760
Fax 3523142909

Authorized person

Name CHERYL LYNNE GUERRERO
Role OWNER
Phone 3523143760

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary Yes
Taxonomy Code 106E00000X - Assistant Behavior Analyst
Is Primary No
Taxonomy Code 106S00000X - Behavior Technician
Is Primary No

Other Provider Identifiers

Issuer MEDICAID
Number 017486800
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BETTER LIFE BEHAVIORAL SERVICES OF CENTRAL FLORIDA LLC 401(K) P/S PLAN 2022 831287305 2023-03-01 BETTER LIFE BEHAVIORAL SERVICES OF CENTRAL FLORIDA 37
Three-digit plan number (PN) 001
Effective date of plan 2013-02-01
Business code 624100
Sponsor’s telephone number 3366718843
Plan sponsor’s address 1650 W MAIN ST STE 1, LEESBURG, FL, 34748

Signature of

Role Plan administrator
Date 2023-03-01
Name of individual signing ANDRES GUERRERO
Valid signature Filed with authorized/valid electronic signature
BETTER LIFE BEHAVIORAL SERVICES OF CENTRAL FLORIDA LLC 401(K) P/S PLAN 2022 831287305 2023-04-12 BETTER LIFE BEHAVIORAL SERVICES OF CENTRAL FLORIDA 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-02-01
Business code 624100
Sponsor’s telephone number 3366718843
Plan sponsor’s address 1650 W MAIN ST STE 1, LEESBURG, FL, 34748

Signature of

Role Plan administrator
Date 2023-04-12
Name of individual signing ANDRES GUERRERO
Valid signature Filed with authorized/valid electronic signature
BETTER LIFE BEHAVIORAL SERVICES OF CENTRAL FLORIDA LLC 401(K) P/S PLAN 2021 831287305 2022-07-14 BETTER LIFE BEHAVIORAL SERVICES OF CENTRAL FLORIDA 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-02-01
Business code 624100
Sponsor’s telephone number 3366718843
Plan sponsor’s address 1650 W MAIN ST STE 1, LEESBURG, FL, 34748

Plan administrator’s name and address

Administrator’s EIN 831287305
Plan administrator’s name BETTER LIFE BEHAVIORAL SERVICES OF CENTRAL FLORIDA
Plan administrator’s address 1650 W MAIN ST STE 1, LEESBURG, FL, 34748
Administrator’s telephone number 3366718843

Signature of

Role Plan administrator
Date 2022-07-14
Name of individual signing ANDRES GUERRERO
Valid signature Filed with authorized/valid electronic signature
BETTER LIFE BEHAVIORAL SERVICES OF CENTRAL FLORIDA LLC 401(K) P/S PLAN 2020 831287305 2021-06-01 BETTER LIFE BEHAVIORAL SERVICES OF CENTRAL FLORIDA 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-02-01
Business code 624100
Sponsor’s telephone number 3366718843
Plan sponsor’s address 1650 W MAIN ST STE 1, LEESBURG, FL, 34748

Plan administrator’s name and address

Administrator’s EIN 831287305
Plan administrator’s name BETTER LIFE BEHAVIORAL SERVICES OF CENTRAL FLORIDA
Plan administrator’s address 1650 W MAIN ST STE 1, LEESBURG, FL, 34748
Administrator’s telephone number 3366718843

Signature of

Role Plan administrator
Date 2021-06-01
Name of individual signing ANDRES GUERRERO
Valid signature Filed with authorized/valid electronic signature
BETTER LIFE BEHAVIORAL SERVICES OF CENTRAL FLORIDA LLC 401(K) P/S PLAN 2019 831287305 2020-07-07 BETTER LIFE BEHAVIORAL SERVICES OF CENTRAL FLORIDA 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-02-01
Business code 624100
Sponsor’s telephone number 3366718843
Plan sponsor’s address 1650 W MAIN ST STE 1, LEESBURG, FL, 34748

Plan administrator’s name and address

Administrator’s EIN 831287305
Plan administrator’s name BETTER LIFE BEHAVIORAL SERVICES OF CENTRAL FLORIDA
Plan administrator’s address 1650 W MAIN ST STE 1, LEESBURG, FL, 34748
Administrator’s telephone number 3366718843

Signature of

Role Plan administrator
Date 2020-07-07
Name of individual signing ANDRES GUERRERO
Valid signature Filed with authorized/valid electronic signature
BETTER LIFE BEHAVIORAL SERVICES OF CENTRAL FLORIDA LLC 401(K) P/S PLAN 2018 831287305 2019-06-28 BETTER LIFE BEHAVIORAL SERVICES OF CENTRAL FLORIDA 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-02-01
Business code 624100
Sponsor’s telephone number 3366718843
Plan sponsor’s address 1650 W MAIN ST STE 1, LEESBURG, FL, 34748

Plan administrator’s name and address

Administrator’s EIN 831287305
Plan administrator’s name BETTER LIFE BEHAVIORAL SERVICES OF CENTRAL FLORIDA
Plan administrator’s address 1650 W MAIN ST STE 1, LEESBURG, FL, 34748
Administrator’s telephone number 3366718843

Signature of

Role Plan administrator
Date 2019-06-28
Name of individual signing ANDRES GUERRERO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GUERRERO, ANDRES Agent 1650 W. MAIN ST., LEESBURG, FL 34748

Authorized Member

Name Role Address
GUERRERO, ANDRES Authorized Member 1650 W. MAIN ST., LEESBURG, FL 34748
GUERRERO, CHERYL Authorized Member 1650 W. MAIN ST., LEESBURG, FL 34748

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000076264 BETTER LIFE ACADEMY-SUMTER ACTIVE 2018-07-12 2028-12-31 No data 3080 SE 29TH BLVD, SUMTERVILLE, FL, 33585

Events

Event Type Filed Date Value Description
LC NAME CHANGE 2018-09-12 BETTER LIFE BEHAVIORAL SERVICES OF CENTRAL FLORIDA LLC No data

Documents

Name Date
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-01-28
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-02-10
ANNUAL REPORT 2019-03-04
LC Name Change 2018-09-12
Florida Limited Liability 2018-07-19

Date of last update: 17 Jan 2025

Sources: Florida Department of State