| Entity Name: | RAINBOW OF LIFE BEHAVIORAL HEALTH CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Jul 2019 (6 years ago) |
| Document Number: | L19000172961 |
| FEI/EIN Number | 84-2445580 |
| Address: | 2115 10TH AVENUE NORTH, LAKE WORTH, FL 33461 |
| Mail Address: | 2115 10TH AVENUE NORTH, LAKE WORTH, FL 33461 |
| ZIP code: | 33461 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841837713 | 2019-12-10 | 2023-08-10 | 2115 10TH AVE N, LAKE WORTH BEACH, FL, 334613345, US | 2115 10TH AVE N, LAKE WORTH BEACH, FL, 334613345, US | |||||||||||||||
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| Phone | +1 561-506-3665 |
| Fax | 5614442458 |
Authorized person
| Name | LISSETTE COLLAZO |
| Role | OWNER |
| Phone | 5616672705 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PEREZ, HAYDEE | Agent | 854 N MILITARY TRAIL, WEST PALM BEACH, FL 33415 |
| Name | Role | Address |
|---|---|---|
| COLLAZO, LISSETTE | Manager | 10640 PASO FINO DRIVE, WELLINGTON, FL 33449 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-01 | 2115 10TH AVENUE NORTH, LAKE WORTH, FL 33461 | No data |
| CHANGE OF MAILING ADDRESS | 2024-05-01 | 2115 10TH AVENUE NORTH, LAKE WORTH, FL 33461 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-03-24 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-02-26 |
| ANNUAL REPORT | 2020-03-12 |
| Florida Limited Liability | 2019-07-02 |
Date of last update: 16 Feb 2025
Sources: Florida Department of State
