| Entity Name: | CHOICES BEHAVIORAL HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Dec 2018 (6 years ago) |
| Document Number: | L18000282783 |
| FEI/EIN Number | 83-2811717 |
| Address: | 2062 N. COURTENAY PKWY., MERRITT ISLAND, FL, 32953, US |
| Mail Address: | 2062 N. COURTENAY PKWY., MERRITT ISLAND, FL, 32953, US |
| ZIP code: | 32953 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417413055 | 2019-02-19 | 2019-02-19 | 2062 N COURTENAY PKWY, MERRITT ISLAND, FL, 329534285, US | 2062 N COURTENAY PKWY, MERRITT ISLAND, FL, 329534285, US | |||||||||||||
|
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| Phone | +1 321-305-5646 |
Authorized person
| Name | JACQUILYN EUSANIO |
| Role | OWNER |
| Phone | 3213055576 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Diaz MEGHAN | Agent | 2062 N. COURTENAY PKWY., MERRITT ISLAND, FL, 32953 |
| Name | Role | Address |
|---|---|---|
| SUSKO GARY | Manager | 2062 N. COURTENAY PKWY., MERRITT ISLAND, FL, 32953 |
| Diaz Meghan | Manager | 2062 N. COURTENAY PKWY., MERRITT ISLAND, FL, 32953 |
| EUSANIO JACQUILYN | Manager | 2062 N. COURTENAY PKWY., MERRITT ISLAND, FL, 32953 |
| Name | Role | Address |
|---|---|---|
| EUSANIO JACQUILYN | Authorized Member | 2062 N. COURTENAY PKWY., MERRITT ISLAND, FL, 32953 |
| Name | Role | Address |
|---|---|---|
| Susko GARY | Vice President | 2062 N. COURTENAY PKWY., MERRITT ISLAND, FL, 32953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-01-05 | Diaz, MEGHAN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-05 | 2062 N. COURTENAY PKWY., MERRITT ISLAND, FL 32953 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-14 | 2062 N. COURTENAY PKWY., MERRITT ISLAND, FL 32953 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-15 |
| ANNUAL REPORT | 2024-01-04 |
| ANNUAL REPORT | 2023-01-05 |
| ANNUAL REPORT | 2022-01-06 |
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-01-06 |
| ANNUAL REPORT | 2019-04-25 |
| Florida Limited Liability | 2018-12-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
