Entity Name: | GUIONS BEHAVIORAL SERVICES, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 03 Apr 2019 (6 years ago) |
Document Number: | L19000091702 |
FEI/EIN Number | 83-4215431 |
Address: | 721 Balmoral Circle, Leesburg Fl, FL, 34748, US |
Mail Address: | P.O. BOX 895297, LEESBURG, FL, 34789, US |
ZIP code: | 34748 |
County: | Lake |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1396490801 | 2022-02-14 | 2022-04-14 | 721 BALMORAL CIR, LEESBURG, FL, 347485606, US | 721 BALMORAL CIR, LEESBURG, FL, 347485606, US | |||||||||||||||||||
|
Phone | +1 352-434-6630 |
Authorized person
Name | MRS. JALANEIA RENEE GUIONS |
Role | MEDICAID WAIVER PROVIDER |
Phone | 3524346630 |
Taxonomy
Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 00000000 |
State | FL |
Name | Role |
---|---|
GUIONS PROFESSIONAL SERVICES LLC | Agent |
Name | Role | Address |
---|---|---|
GUIONS JALANEIA R | Chief Executive Officer | 35009 Sweet Leaf Lane, Leesburg, FL, 34788 |
GUIONS TERENCE M | Chief Executive Officer | 35009 Sweet Leaf Lane, Leesburg, FL, 34788 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-04-29 | 721 Balmoral Circle, Leesburg Fl, FL 34748 | No data |
CHANGE OF MAILING ADDRESS | 2024-04-29 | 721 Balmoral Circle, Leesburg Fl, FL 34748 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-04-29 | 721 Balmoral Circle, Leesburg Fl, FL 34748 | No data |
REGISTERED AGENT NAME CHANGED | 2021-02-18 | GUIONS PROFESSIONAL SERVICES LLC | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-29 |
ANNUAL REPORT | 2023-04-29 |
ANNUAL REPORT | 2022-04-30 |
ANNUAL REPORT | 2021-02-18 |
ANNUAL REPORT | 2020-03-24 |
Florida Limited Liability | 2019-04-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State