| Entity Name: | NEUROCOVE BEHAVIORAL HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
NEUROCOVE BEHAVIORAL HEALTH, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 02 Oct 2019 (5 years ago) |
| Document Number: | L19000248156 |
| FEI/EIN Number |
84-3654296
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3564 avalon park e blvd, ste 1, ORLANDO, FL 32828 |
| Mail Address: | ipmb 3039 3564 avalon park e blvd, ste 1, ORLANDO, FL 32828 |
| ZIP code: | 32828 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356925861 | 2021-05-11 | 2022-10-12 | 3564 AVALON PARK E BLVD STE 1, IPMB 3039, ORLANDO, FL, 328286350, US | 1317 EDGEWATER DR # 117, ORLANDO, FL, 328046350, US | |||||||||||||||||||
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| Phone | +1 321-754-9099 |
Authorized person
| Name | DR. BENSON GEORGE MUNYAN III |
| Role | DIRECTOR |
| Phone | 3217549099 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS FLORIDA BLUE |
| Number | 1AOUI |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MUNYAN, BENSON G, III | Agent | 3564 avalon park e blvd ste 1, ipmb 3039, ORLANDO, FL 32828 |
| MUNYAN, BENSON G, III | Manager | 3564 Avalon Park E Blvd Ste 1, IPMB 3039 Orlando, FL 32828 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-26 | 3564 avalon park e blvd ste 1, ipmb 3039, ORLANDO, FL 32828 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-30 | 3564 avalon park e blvd, ste 1, ORLANDO, FL 32828 | - |
| CHANGE OF MAILING ADDRESS | 2022-03-30 | 3564 avalon park e blvd, ste 1, ORLANDO, FL 32828 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-30 |
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-14 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-03-19 |
| Florida Limited Liability | 2019-10-02 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
