| Entity Name: | GRIFFIN BEHAVIORAL SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Aug 2018 (6 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 27 Jul 2023 (2 years ago) |
| Document Number: | L18000194143 |
| FEI/EIN Number | 83-1465779 |
| Address: | 255 Primera Blvd, STE 160, LAKE MARY, FL, 32746, US |
| Mail Address: | 255 Primera Blvd, Suite 160, LAKE MARY, FL, 32746, US |
| ZIP code: | 32746 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679052252 | 2018-08-14 | 2024-02-27 | 255 PRIMERA BLVD STE 160, LAKE MARY, FL, 327462168, US | 255 PRIMERA BLVD STE 160, LAKE MARY, FL, 327462168, US | |||||||||||||||||||||
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| Phone | +1 407-995-6106 |
| Fax | 4074760910 |
Authorized person
| Name | CRYSTAL BEST |
| Role | CLINICAL DIRECTOR |
| Phone | 4079956106 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 023824600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BEST CRYSTAL L | Agent | 255 Primera Blvd, LAKE MARY, FL, 32746 |
| Name | Role | Address |
|---|---|---|
| BEST CRYSTAL | Manager | 255 PRIMERA BLVD, STE 160, LAKE MARY, FL, 32746 |
| BEST ALEXANDER | Manager | 255 PRIMERA BLVD, STE 160, LAKE MARY, FL, 32746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-28 | 255 Primera Blvd, Suite 160, LAKE MARY, FL 32746 | No data |
| LC AMENDMENT | 2023-07-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-07 | 255 Primera Blvd, STE 160, LAKE MARY, FL 32746 | No data |
| CHANGE OF MAILING ADDRESS | 2022-08-09 | 255 Primera Blvd, STE 160, LAKE MARY, FL 32746 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-28 |
| LC Amendment | 2023-07-27 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-03-21 |
| ANNUAL REPORT | 2021-05-07 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-05-05 |
| Florida Limited Liability | 2018-08-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
